Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Elizabeth Zack Nwobodo, PA-C

Individual provider Physician Assistant · NPI 1619290822

Nicole Elizabeth Zack Nwobodo, PA-C is a Physician Assistant in Glendale, Arizona. Licensed in Arizona and Minnesota. Registered with an NPI since 2010.

Licensed in
AZ, MN
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5605 W Eugie Ave Ste 200
Glendale, AZ 85304-1272
Phone: (602) 843-2991
Fax: (602) 978-1226
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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 5740 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 10711 (MN)

Record details

NPI number1619290822
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2010
Last updated in NPPESOctober 16, 2017

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