Brigham Nicoll
Brigham Nicoll is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.
- Licensed in
- AZ
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
2601 E Roosevelt StPhoenix, AZ 85008-4973
Phone: (602) 344-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 55458 (AZ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1003260233 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 13, 2016 |
| Last updated in NPPES | December 19, 2019 |
| Certification date | December 19, 2019 |
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Kevin Nicoll, MD
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Cory Jay Nielsen
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Dr. Sara Irene Nieto, MD
2601 E Roosevelt St, Phoenix, AZ 85008-4973 · (602) 344-5084