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NPI Code Detail

MEDICARE: NICOLE MICHELLE AMADOR

MEDICARE:   NICOLE MICHELLE AMADOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula
2176B00000XMidwifeAZ

General Provider Information

NPI Number : 1508421918
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MICHELLE AMADOR
Provider Business Mailing Address
First Line : 15720 MEADOW RD APT L1
Second Line :
City : LYNNWOOD
State : WA
Zip : 98087-6566
Country : US
Telephone Number : 206-612-6933
Fax Number :
Provider Business Practice Location Address
First Line : 51 E MONTEREY WAY
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2616
Country : US
Telephone Number : 480-565-2165
Fax Number : 602-889-2444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2019
Last Update Date : 08/01/2022

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Directions to “ NICOLE MICHELLE AMADOR ” Practice Location

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