Nudo, Heather Marie
Nudo, Heather Marie is an sole proprietor health care provider with primary practice located at 110 Tampico Suite 200, Walnut Creek CA 94598-2998. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Nudo, Heather Marie can be contacted via phone (925) 838-4900.Contact Information
Primary practice address
110 Tampico Suite 200
Walnut Creek CA 94598-2998
Phone: (925) 838-4900
Fax: (925) 838-4920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | PA18334 | California |
Profile Details
| NPI number | 1518077411 |
|---|---|
| LBN Legal business name | Nudo, Heather Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 14th, 2011 - about 13 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518077411 | NPPES |
| California | Other | PA18334 | LICENSE NUMBER |
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