NWSE: NICOLE WARNER SHAHA ENTERPRISES, LLC
NPI 1205663846
Physician Assistant - Surgical in Mesa, AZ

Q: What is Nwse: Nicole Warner Shaha Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since September 17, 2024

2545 E INTREPID AVE, MESA, AZ 85204(208) 716-2350 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nwse: Nicole Warner Shaha Enterprises, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NWSE: NICOLE WARNER SHAHA ENTERPRISES, LLC (NPI 1205663846) is a healthcare organization registered as a surgical in Mesa, Arizona and active in the NPI registry since September 2024. The organization lists Nicole Warner Shaha, Surgical Assistant, as its authorized official.

NPPES Registry Identity

NPI1205663846

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameNWSE: NICOLE WARNER SHAHA ENTERPRISES, LLC

Location Address2545 E INTREPID AVEMesa, AZ 85204-7028

Mailing Address2545 E Intrepid AveMesa, AZ 85204-7028 · (208) 716-2350

Phone(208) 716-2350

Organization SubpartNo

Authorized OfficialNicole Warner ShahaSurgical Assistant · (208) 716-2350

Enumeration DateSeptember 17, 2024

NPPES CertifiedSeptember 17, 2024

✔ NPI 1205663846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

2545 E INTREPID AVE, Mesa, AZ 85204

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NICOLE WARNER SHAHA PA-C

Physician Assistant (Surgical)

2545 E INTREPID AVE
MESA, AZ 85204

Maricopa County (208) 716-2350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nwse: Nicole Warner Shaha Enterprises, LLC's NPI number?

The NPI number for Nwse: Nicole Warner Shaha Enterprises, LLC is 1205663846. It was assigned to this organization in the NPPES registry on September 17, 2024.

Where is Nwse: Nicole Warner Shaha Enterprises, LLC located?

Nwse: Nicole Warner Shaha Enterprises, LLC is located at 2545 E Intrepid Ave, Mesa, AZ 85204. The listed phone number is (208) 716-2350.

What is Nwse: Nicole Warner Shaha Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Nwse: Nicole Warner Shaha Enterprises, LLC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.