MEDICARE: NICHOLAS DRYDEN

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
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1811336100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS DRYDEN

Provider Business Mailing Address
First Line	:	425 PARK WAY
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-1317
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 W MARKET ST STE 140
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-2655
Country	:	US
Telephone Number	:	831-800-3546
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2013
Last Update Date	:	05/19/2023

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Directions to “ NICHOLAS DRYDEN ” Practice Location

Language	Start Address	Practice Location

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