Individual
NICOLE MARIE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9984 SCRIPPS RANCH BLVD UNIT 960, SAN DIEGO, CA 92131-1825
(619) 880-6603
Mailing address
8899 UNIVERSITY CENTER LN STE 240, SAN DIEGO, CA 92122-1039
(858) 249-4070
(858) 249-4071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1685358
CO
163W00000X
Registered Nurse
95292032
CA
363L00000X
Nurse Practitioner
1000855
CO
363L00000X
Nurse Practitioner
95035252
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035252
CA
Other
Enumeration date
03/06/2024
Last updated
10/27/2025
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