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Alexander Nicholls

Physician Assistant in Mesa, AZ. Individual provider (NPI-1).

NPI number1649136458
StatusActive
Last updated in NPPESJan 25, 2026

Details

NPI
1649136458
Entity type
Individual (NPI-1)
Name
Alexander Nicholls
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 25, 2025
Certification date
Jan 25, 2026
Last updated
Jan 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant11549AZYes

Practice location

10238 E Hampton Ave Ste 301c
Mesa, AZ 85209-3322

Phone 480-882-5730

Mailing address

10238 E Hampton Ave Ste 301c
Mesa, AZ 85209-3322

Phone 623-734-4877

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