Provider Demographics
NPI:1841398559
Name:NAKOVIC, NIKKI LEVY (RN ANP)
Entity Type:Individual
Prefix:DR
First Name:NIKKI
Middle Name:LEVY
Last Name:NAKOVIC
Suffix:
Gender:F
Credentials:RN ANP
Other - Prefix:MS
Other - First Name:NIKKI
Other - Middle Name:GRACE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN ANP
Mailing Address - Street 1:839 W CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2819
Mailing Address - Country:US
Mailing Address - Phone:520-792-9890
Mailing Address - Fax:520-884-9287
Practice Address - Street 1:10549 E MALTA ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-5981
Practice Address - Country:US
Practice Address - Phone:520-270-1724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ258363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health