Individual
NICOLE BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
343 FRASER PT, CAMARILLO, CA 93012-8974
(559) 359-6814
Mailing address
343 FRASER PT, CAMARILLO, CA 93012-8974
(559) 359-6814
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
950339010
CA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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