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NICOLE JOANNE NORDINE PAC
NPI 1710915194
Physician Assistant in Mesa, AZ

Active since June 28, 2006
3130 E BASELINE RD, STE 105, MESA, AZ 85204(800) 819-8566 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Joanne Nordine Pac NPPES

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

NICOLE JOANNE NORDINE PAC (NPI 1710915194) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (2571) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1710915194
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE JOANNE NORDINECredential: PAC
Location Address3130 E BASELINE RD, STE 105Mesa, AZ 85204
Mailing Address4760 S Robins WayChandler, AZ 85249 · (480) 664-4906
Phone(800) 819-8566
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710915194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 2571
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.
3130 E BASELINE RD, Mesa, AZ 85204
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Other Names 1

Former Name (1)Nicole Wagenhoffer

Other Identifiers 2

Medicare UPINP86289
Medicaid865042AZ

Other Providers at the Same Location NPPES 9

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

NEXTCARE ARIZONA LLC
Clinic/Center (Urgent Care)
3130 E BASELINE RD, STE. 105
MESA, AZ 85204
Maricopa County (800) 819-8566
MORRIS CHIROPRACTIC INC
Chiropractor
3130 E BASELINE RD, STE 107
MESA, AZ 85204
Maricopa County (480) 345-1980
KIDS DENTAL 2 P.C.
Dentist (General Practice)
3130 E BASELINE RD, #103-104
MESA, AZ 85204
Maricopa County (480) 813-3423
DR. RAMON V BUENAVER MD
Pediatrics
3130 E BASELINE RD, SUITE 103
MESA, AZ 85204
Maricopa County (602) 867-1252
AFC PHYSICAL MEDICINE OF MESA, PLLC
Physical Medicine & Rehabilitation
3130 E BASELINE RD, SUITE 107
MESA, AZ 85204
Maricopa County (480) 345-1980
DANA LANDING URGENT CARE LLC
Clinic/Center (Urgent Care)
3130 E BASELINE RD, STE. 105
MESA, AZ 85204
Maricopa County (480) 776-1588
AFC PHYSICAL MEDICINE OF MESA, PLLC
Non-Pharmacy Dispensing Site
3130 E BASELINE RD, SUITE 107
MESA, AZ 85204
Maricopa County (480) 345-1980
DR. EMELIAH CONSTANCE HANSON D.C.
Chiropractor
3130 E BASELINE RD, SUITE 107
MESA, AZ 85204
Maricopa County (480) 345-1980

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 Nordine's NPI number?

The NPI number for Nicole Nordine is 1710915194. It was assigned to this individual provider in the NPPES registry on June 28, 2006. The provider is also known as Nicole Wagenhoffer.

Where is Nicole Nordine located?

Nicole Nordine practices at 3130 E Baseline Rd Ste 105, Mesa, AZ 85204. The listed phone number is (800) 819-8566.

What is Nicole Nordine'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 Nordine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.