Susanna Emilia Nickel, PA - Pediatrics in Glendale, AZ

Susanna Emilia Nickel, PA is a Pediatrics physician based in Glendale, Arizona. Susanna Emilia Nickel is licensed to practice in Arizona (license number 9395) and her current practice location is 3575 W Deer Valley Rd, Glendale, Arizona. She can be reached at her office (for appointments etc.) via phone at (480) 585-5200.

NPI number for Susanna Emilia Nickel is 1023734738 and her current mailing address is 3575 W Deer Valley Rd, Glendale, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023734738.

Contact Information

Susanna Emilia Nickel, PA
3575 W Deer Valley Rd,
Glendale, AZ 85308-2002
(480) 585-5200
Not Available

Map and Direction




Physician's Profile

Full NameSusanna Emilia Nickel
GenderFemale
SpecialityPediatrics
Location3575 W Deer Valley Rd, Glendale, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023734738
  • Provider Enumeration Date: 10/13/2022
  • Last Update Date: 06/29/2024

Medical Identifiers

Medical identifiers for Susanna Emilia Nickel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023734738NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 9395 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susanna Emilia Nickel is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susanna Emilia Nickel, PA
3575 W Deer Valley Rd,
Glendale, AZ 85308-2002

Ph: (480) 585-5200
Susanna Emilia Nickel, PA
3575 W Deer Valley Rd,
Glendale, AZ 85308-2002

Ph: (480) 585-5200

Reviews and Comments


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