Individual
DR. NICOLLE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 SUPERIOR AVENUE, SUITE 310, NEWPORT BEACH, CA 92663-3609
(949) 644-2722
(949) 760-5438
Mailing address
500 SUPERIOR AVENUE, SUITE 310, NEWPORT BEACH, CA 92663-3609
(949) 644-2722
(949) 760-5438
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
145047
CA
207VX0000X
Obstetrics Physician
269054
NY
Other
Enumeration date
06/14/2009
Last updated
01/13/2017
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