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NPI Code Detail

MEDICARE: NICOLE SATA

MEDICARE: NICOLE SATA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95041656CA
2363LW0102XWomen's Health Nurse Practitioner95005868CA
3374J00000XDoula
4367A00000XAdvanced Practice Midwife235848CA

General Provider Information

NPI Number : 1336528249
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE SATA
Provider Business Mailing Address
First Line : 11030 BOLLINGER CANYON RD STE 250
Second Line :
City : SAN RAMON
State : CA
Zip : 94582-4874
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3075 ADELINE ST STE 280
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2580
Country : US
Telephone Number : 510-981-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2015
Last Update Date : 11/20/2018

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Directions to “ NICOLE SATA ” Practice Location

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