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

Holly N Nichols, NP

Individual provider Nurse Practitioner · NPI 1780650036

Holly N Nichols, NP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2004, 22 years ago. Practices with Alliance Dermatology and Mohs Center PC, a 10-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, California and Kansas.

Years since qualifying
22
Licensed in
AZ, CA, KS
In the registry since
2006
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238
Phone: (602) 971-0268
Fax: (602) 971-1556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 313 S Beeline Hwy, Payson, AZ 85541-4814 — (928) 472-7107
  • 715 S Beeline Hwy, Payson, AZ 85541-5320 — (928) 468-6607

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP7482 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 22657 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 45627 (KS)
Nurse Practitioner Taxonomy 363L00000X · Licence 45627 (KS)

Record details

NPI number1780650036
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Alliance Dermatology And Mohs Center Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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