Christofferson, Nicole Amina

Christofferson, Nicole Amina is an individual health care provider with primary practice located at 1400 N Dutton Ave Ste 1 , Santa Rosa CA 95401-7120. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Christofferson, Nicole Amina can be contacted via phone (707) 523-2848.

Contact Information

Primary practice address
1400 N Dutton Ave Ste 1 Santa Rosa CA 95401-7120
Phone: (707) 523-2848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 53164 California

Profile Details

NPI number 1609633031
LBN Legal business name Christofferson, Nicole Amina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2024
Last updated Mar 4th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers