Individual
ESTHER YOON NICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
411 GRAND AVE, OAKLAND, CA 94610-5022
(510) 844-4097
Mailing address
2146 CLINTON AVE APT B, ALAMEDA, CA 94501-6604
(406) 209-1678
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
161968
MT
163W00000X
Registered Nurse
95154363
CA
363L00000X
Nurse Practitioner
Primary
161969
MT
363LF0000X
Family Nurse Practitioner
95013748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164068268
—
MT
Enumeration date
11/23/2019
Last updated
09/26/2022
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