MEDICARE: NICOLE HARRELSON RN

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	163WS0200X	School Registered Nurse	754427	CA

General Provider Information

NPI Number	:	1902625130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE HARRELSON RN

Provider Business Mailing Address
First Line	:	7521 WINDWARD DR
Second Line	:
City	:	ROHNERT PARK
State	:	CA
Zip	:	94928-4086
Country	:	US
Telephone Number	:	949-637-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 MAGNOLIA AVE
Second Line	:
City	:	ROHNERT PARK
State	:	CA
Zip	:	94928-8129
Country	:	US
Telephone Number	:	707-792-4531
Fax Number	:

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

Provider Enumeration Date	:	10/04/2024
Last Update Date	:	10/04/2024

Similar Medicare Providers

1093538589 — DEBORAH WHITE
Practice Location Address:

1400 MAGNOLIA AVE
ROHNERT PARK, CA
94928-8129

Practice Phone: 707-238-2201
Practice Fax:

1821809492 — CHRISTINA VEATCH
Practice Location Address:

1400 MAGNOLIA AVE
ROHNERT PARK, CA
94928-8129

Practice Phone: 707-792-4531
Practice Fax:

1679877302 — MRS. LAURA ANN WAGNER
Practice Location Address:

8129 WHEELER DR
ORLAND PARK, IL
60462-4928

Practice Phone: 708-460-6412
Practice Fax:

1710869102 — ROBERT PULVER III BCABA
Practice Location Address:

149 RIVER PARK BLVD
TITUSVILLE, FL
32780-8129

Practice Phone: 772-646-2414
Practice Fax:

1447149802 — FOX & CUB FAMILY WELLNESS
Practice Location Address:

580 ROHNERT PARK EXPRESSWAY , APT 247
ROHNERT PARK, CA
94928

Practice Phone: 707-480-3235
Practice Fax:

1710833439 — FLAVIA R MCKLEROY
Practice Location Address:

1801 E COTATI AVE
ROHNERT PARK, CA
94928-3613

Practice Phone: 707-664-2880
Practice Fax:

Directions to “ NICOLE HARRELSON RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.