1. Home
  2. Directory
  3. Arizona
  4. Glendale
  5. Physician Assistant
  6. NPI Profile

NICOLE ELIZABETH ZACK NWOBODO PA-C
NPI 1619290822
Physician Assistant in Glendale, AZ

Active since March 03, 2010
5605 W EUGIE AVE, STE. 200, GLENDALE, AZ 85304(602) 843-2991(602) 978-1226 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Elizabeth Zack Nwobodo Pa-c NPPES

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

NICOLE ELIZABETH ZACK NWOBODO PA-C (NPI 1619290822) is an individual physician assistant in Glendale, Arizona, licensed in Arizona (5740) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1619290822
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE ELIZABETH ZACK NWOBODOCredential: PA-C
Location Address5605 W EUGIE AVE, STE. 200Glendale, AZ 85304-1272
Mailing Address13965 N 75th AvePeoria, AZ 85381-6097 · (602) 843-2991 · Fax (602) 978-1226
Phone(602) 843-2991
Fax(602) 978-1226
Sole ProprietorNo
Enumeration DateMarch 3, 2010
Last NPPES UpdateOctober 16, 2017
✔ NPI 1619290822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in AZ · 5740✔ Licensed in MN · 10711
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5605 W EUGIE AVE, Glendale, AZ 85304
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

DR. KATHLEEN ROSE SALIK PT
Physical Therapist
5605 W EUGIE AVE
GLENDALE, AZ 85304
Maricopa County (160) 286-5583
MRS. KIMBERLY ANN VALENTINE RNFA
Registered Nurse (Orthopedic)
5605 W EUGIE AVE, SUITE 111
GLENDALE, AZ 85304
Maricopa County (602) 298-8888
WILLIAM F MORGAN MD
Allergy & Immunology
5605 W EUGIE AVE, #200
GLENDALE, AZ 85304
Maricopa County (602) 843-2991
CHARYSSE LARSON DPT
Physical Therapist
5605 W EUGIE AVE
GLENDALE, AZ 85304
Maricopa County (602) 865-2534
DR. MORGAN C JUSTICE PT, DPT, B.S.
Physical Therapist
5605 W EUGIE AVE, STE 212&215
GLENDALE, AZ 85304
Maricopa County (480) 210-6445
DR. STEPHEN W RIPPLE M.D.
Orthopaedic Surgery
5605 W EUGIE AVE, STE 111
GLENDALE, AZ 85304
Maricopa County (602) 298-8888
TAZ GLENDALE, LLC
Specialist
5605 W EUGIE AVE, SUITE 111
GLENDALE, AZ 85304
Maricopa County (480) 306-8195
SUE STANFIELD
Physical Therapist
5605 W EUGIE AVE
GLENDALE, AZ 85304
Maricopa County (602) 865-5830

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 Nicole Nwobodo's NPI number?

The NPI number for Nicole Nwobodo is 1619290822. It was assigned to this individual provider in the NPPES registry on March 3, 2010.

Where is Nicole Nwobodo located?

Nicole Nwobodo practices at 5605 W Eugie Ave Ste. 200, Glendale, AZ 85304. The listed phone number is (602) 843-2991.

What is Nicole Nwobodo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nicole Nwobodo was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.