Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicole Josette Boardman Mitcham, MD, MPH

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154016533

Dr. Nicole Josette Boardman Mitcham, MD, MPH is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Phoenix, AZ

Additional practice locations (1)

  • 2601 E Roosevelt St, Phoenix, AZ 85008-4973 — (602) 344-5011

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 79944 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154016533
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedApril 10, 2023
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

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