Individual
NICOLE M NEWHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4000 CIVIC CENTER DR STE 209, SAN RAFAEL, CA 94903-5233
(415) 925-8963
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA16057
CA
363AS0400X
Surgical Physician Assistant
Primary
PA16057
CA
Other
Enumeration date
11/15/2006
Last updated
10/03/2023
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