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General NPI Number Information
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NPI Number | 1861924516
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Entity Type | Individual
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Provider Name | NICOLE MARIE DAISA ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 575 LENNON LN
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2443
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Country | US
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Telephone | 925-433-8786
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Fax | 925-433-8788
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Provider Business Mailing Address
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Address Line | 575 LENNON LN
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2443
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Country | US
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Telephone | 925-433-8786
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Fax | 925-433-8788
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95415429
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60666816
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60782216
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95035040
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License Number State | CA
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