Spooner, Nicole Anastasia

Spooner, Nicole Anastasia is an individual health care provider with primary practice located at 1612 Julia St , Berkeley CA 94703. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Spooner, Nicole Anastasia can be contacted via phone (415) 307-4566.

Contact Information

Primary practice address
1612 Julia St Berkeley CA 94703
Phone: (415) 307-4566
Fax: (415) 206-4153
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 755783 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95005748 California

Profile Details

NPI number 1508186644
LBN Legal business name Spooner, Nicole Anastasia
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2010
Last updated Jul 5th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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