Nicole M. Gullick Transformations by M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23648 Issued in AZ

Legal business name

NICOLE M. GULLICK TRANSFORMATIONS BY M.D.

Practice address

268 E River Rd Ste 130
Tucson, AZ 85704-5842

Phone

(520) 495-0151

Fax

(520) 204-1542

NPI assigned

Mar 13, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole M. Gullick, MD

Title

Physician

Phone

(520) 495-0151

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1144491572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 E RIVER RD STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045842",
            "telephone_number": "520-495-0151",
            "fax_number": "520-204-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 E RIVER RD STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045842",
            "telephone_number": "520-495-0151",
            "fax_number": "520-204-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE M. GULLICK TRANSFORMATIONS BY M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "GULLICK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "520-495-0151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "23648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorrie L Nickel, RN
• Maria Elena Nickel, FNP-C
• Young Nickels
• Nickes Medical Supply, LLC.
• James P Nicolai, MD
• Carol Ann Nicolet, MED, SLP - CCC
• Rosanna R Nicoletti, MD
• Nicoline Mayger Counseling, LLC.
• Julia Nidea
• Brian B Nielsen, M.D.

• Family Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.