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

Nicole Bacha

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467203992

Nicole Bacha is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

1300 N 12th St Ste 508
Phoenix, AZ 85006-2849
Phone: (602) 839-3927
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence R82369 (AZ)

Record details

NPI number1467203992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address1111 E McDowell Rd, Phoenix, AZ 85006-2612

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