Individual
HEIDI GAYLE NICOLL-MERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
481 30TH ST, OAKLAND, CA 94609-3209
(510) 835-4521
(510) 835-4223
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G56098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G560980
—
CA
Enumeration date
06/18/2006
Last updated
02/14/2017
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