Doctor Name: | NICOLE DENISE NG |
NPI Number: | 1851733430 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | |
Business Practice Address: | 3825 Hopyard Rd Ste 202 Pleasanton, CA - 945888528 |
Business Phone Number: | 9258475051 |
Business Fax Number: | |
Mailing Address: | 102 Hogan Ct Apt 1, WALNUT CREEK |
State: | CA |
Postal Code: | 945981339 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/23/2013 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |