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

Susanna Emilia Nickel, PA

Individual provider Pediatrics Physician · NPI 1023734738

Susanna Emilia Nickel, PA is a Pediatrics Physician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3575 W Deer Valley Rd
Glendale, AZ 85308-2002
Phone: (480) 585-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 9395 (AZ)

Record details

NPI number1023734738
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 13, 2022
Last updated in NPPESJune 29, 2024
Certification dateJune 29, 2024

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