MEDICARE: NICOLE LOSEKE

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
1	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	111508	NE

General Provider Information

NPI Number	:	1891134987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE LOSEKE

Provider Business Mailing Address
First Line	:	15333 N PIMA RD # 312
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-2783
Country	:	US
Telephone Number	:	888-731-8994
Fax Number	:

Provider Business Practice Location Address
First Line	:	15333 N PIMA RD # 312
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-2783
Country	:	US
Telephone Number	:	888-731-8994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2013
Last Update Date	:	05/15/2026

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Directions to “ NICOLE LOSEKE ” Practice Location

Language	Start Address	Practice Location

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