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Individual

NICHOLAS MARTIN GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
505 PARNASSUS AVE # 624, SAN FRANCISCO, CA 94143-2204
(415) 353-1116
Mailing address
505 PARNASSUS AVE # 624, SAN FRANCISCO, CA 94143-2204
(415) 353-1116

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN264547
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
NP95033221
CA

Other

Enumeration date
07/10/2023
Last updated
05/12/2025
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