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

MS. Nicole C Fallacaro, PA

Individual provider Physician Assistant · NPI 1174582290

MS. Nicole C Fallacaro, PA is a Physician Assistant in Gilbert, Arizona. Licensed in Arizona and New York. Registered with an NPI since 2006.

Licensed in
AZ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2730 S Val Vista Dr
Gilbert, AZ 85295-1675
Phone: (480) 324-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4453 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 010718 (NY)

Record details

NPI number1174582290
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 18, 2006
Last updated in NPPESDecember 28, 2011

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