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

Nicole Anne Guzzo, PAC

Individual provider Physician Assistant · NPI 1285920991

Nicole Anne Guzzo, PAC is a Physician Assistant in Lake Havasu City, Arizona. Qualified in 2011, 15 years ago. Practices with Thomas Dermatology, a 33-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2011
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1840 Mesquite Ave Ste G102
Lake Havasu City, AZ 86403
Phone: (928) 719-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 192 Lindquist Road, Fort Stewart, GA 31314 — (912) 435-5364
  • 3650 S Pointe Cir Ste 106, Laughlin, NV 89029-0422 — (702) 298-0131

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6711 (AZ)

Record details

NPI number1285920991
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 21, 2011
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Thomas Dermatology — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake Havasu City