| Doctor Name: | MS. NATALYA NICOLOFF |
| NPI Number: | 1033225057 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 378000 |
| Business Practice Address: | 3553 Whipple Rd Union City, CA - 945871507 |
| Business Phone Number: | 5104541000 |
| Business Fax Number: | |
| Mailing Address: | 3553 Whipple Rd, UNION CITY |
| State: | CA |
| Postal Code: | 945871507 |
| Phone Number: | 5104541000 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2006 |
| NPI Last Update Date: | 06/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 378000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |