Healthcare Provider Details

I. General information

NPI: 1134745961
Provider Name (Legal Business Name): LINDA NYKIN ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3017 TELEGRAPH AVE STE 330A
BERKELEY CA
94705-2049
US

IV. Provider business mailing address

3017 TELEGRAPH AVE STE 330A
BERKELEY CA
94705-2049
US

V. Phone/Fax

Practice location:
  • Phone: 510-603-5333
  • Fax:
Mailing address:
  • Phone: 510-603-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1156
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: