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NPI Code Detail

MEDICARE: NANCY GAY NUDELL M.D.

MEDICARE:   NANCY GAY NUDELL  M.D.
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
1208000000XPediatrics PhysicianA034292CA

General Provider Information

NPI Number : 1538191689
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY GAY NUDELL M.D.
Provider Business Mailing Address
First Line : 300 N SAN ANTONIO RD
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93110-1316
Country : US
Telephone Number : 805-681-5461
Fax Number :
Provider Business Practice Location Address
First Line : 4085 CUERVO AVE
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93110-2411
Country : US
Telephone Number : 805-682-2199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/14/2013

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