Lyons, Nicole Marie
Lyons, Nicole Marie is an sole proprietor health care provider with primary practice located at 3271 E Queen Creek Rd Ste 101 , Gilbert AZ 85297-8511. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lyons, Nicole Marie can be contacted via phone (480) 550-3193.Contact Information
Primary practice address
3271 E Queen Creek Rd Ste 101
Gilbert AZ 85297-8511
Phone: (480) 550-3193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP5672 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP5672 | Arizona |
Profile Details
| NPI number | 1093121600 |
|---|---|
| LBN Legal business name | Lyons, Nicole Marie |
| Credentials | DNP, AGNP-C,PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2014 |
| Last updated | Oct 2nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093121600 | NPPES |
| Arizona | MEDICAID | 929811 |
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