| Organization Name: | SONOMA HEALTH & SAFETY CENTER LLC |
| NPI Number: | 1174984942 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLA P BAIN (NURSE PRACTITIONER) |
| Mailing Address: | 653 Anderson St Winnemucca |
| State: | NV US |
| Postal Code: | 894454229 |
| Phone Number: | 7756253355 |
| Fax Number: | 7756253357 |
| NPI Enumeration Date: | 03/08/2016 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | NV20101664754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |