Provider Demographics
NPI:1467824938
Name:NORDLUND, NANCY (RDH)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:NORDLUND
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12096 W HAILEY LN
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85653-8648
Mailing Address - Country:US
Mailing Address - Phone:520-740-7707
Mailing Address - Fax:520-818-3630
Practice Address - Street 1:340 W PRINCE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-6168
Practice Address - Country:US
Practice Address - Phone:520-740-7707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZH04866124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist