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

Mrs. Nichole Wrae Hazuka, PA-C

Individual provider Physician Assistant · NPI 1801288311

Mrs. Nichole Wrae Hazuka, PA-C is a Physician Assistant in Mesa, Arizona. Licensed in Colorado. Registered with an NPI since 2015.

Licensed in
CO
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

8405 E Baseline Rd Ste 104
Mesa, AZ 85209-4376
Phone: (480) 674-3295
Fax: (725) 239-7974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4219 (CO)

Record details

NPI number1801288311
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 21, 2015
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024

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