Healthcare Provider Details

I. General information

NPI: 1306186309
Provider Name (Legal Business Name): NADINE RENEE BRINTON D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2013
Last Update Date: 08/25/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 SAN CLEMENTE DR STE B220
CORTE MADERA CA
94925-3311
US

IV. Provider business mailing address

131 CAMINO ALTO SUITE F
MILL VALLEY CA
94941-2254
US

V. Phone/Fax

Practice location:
  • Phone: 415-259-6087
  • Fax: 510-284-3661
Mailing address:
  • Phone: 415-383-9903
  • Fax: 415-383-9901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number32457
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: