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

Individual provider Physician Assistant · NPI 1508805235

Nicole Lynn Greenawalt, PA-C is a Physician Assistant in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
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

3601 S 6th Ave
Tucson, AZ 85723-0001
Phone: (520) 792-1450
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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 2750 (AZ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1508805235
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021

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