Individual
NICOLE GAMACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3900 LAKEVILLE HWY, PETALUMA, CA 94954-5698
(707) 765-3900
Mailing address
3900 LAKEVILLE HWY, PETALUMA, CA 94954-5698
(707) 765-3900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP09953
LA
363LF0000X
Family Nurse Practitioner
APN.0992744-NP
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
95023692
CA
Other
Enumeration date
06/03/2012
Last updated
07/09/2025
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