Provider Demographics
NPI:1801418249
Name:CIARELLI, NICOLA PALMER (PMHNP)
Entity Type:Individual
Prefix:
First Name:NICOLA
Middle Name:PALMER
Last Name:CIARELLI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16430 N SCOTTSDALE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1581
Mailing Address - Country:US
Mailing Address - Phone:602-266-7000
Mailing Address - Fax:602-646-8901
Practice Address - Street 1:7400 S POWER RD STE 126
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-9283
Practice Address - Country:US
Practice Address - Phone:480-482-7350
Practice Address - Fax:480-482-7370
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-08
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ241004363LP0808X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine