Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 27093 | AZ |
NPI | 1053380840 |
---|---|
Provider Name | Nadia A Fike |
First Address | Tucson, AZ 85718 |
Second Address | Tucson, AZ 85718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 02/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
448135 | (05) | AZ |
I47231 | (02) |