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Contact Information

NICOLE A GUZZO, PAC
1840 MESQUITE AVE STE G102
LAKE HAVASU CITY, AZ86403
 Phone: 928-719-8400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE A GUZZO · (Female)

NPI Number 1285920991
Status Active
Credentials PAC
Entity Individual
Enumeration date 06/21/2011
Last updated 10/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 6711
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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