Individual
MR. MICHAEL DAVID NITKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1333 WILLOW PASS RD, CONCORD, CA 94520-7930
(925) 825-1793
Mailing address
1333 WILLOW PASS RD STE 201, CONCORD, CA 94520-7930
(609) 405-3724
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95120316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
CA
Enumeration date
10/10/2017
Last updated
11/06/2025
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