Healthcare Provider Details

I. General information

NPI: 1871473413
Provider Name (Legal Business Name): LUCAS NICKOLAS TONIES FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 POST ST STE 500
SAN FRANCISCO CA
94102-1406
US

IV. Provider business mailing address

490 POST ST STE 500
SAN FRANCISCO CA
94102-1406
US

V. Phone/Fax

Practice location:
  • Phone: 415-373-6466
  • Fax:
Mailing address:
  • Phone: 415-373-6466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95036997
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number58405
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number341478
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11042054
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number87858
License Number StateNM
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP70074938
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: