| NPI | 1699575159 |
|---|---|
| Former Name | NICOLE PADILLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 82821) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 82821) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 82821) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 82821) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 82821) | |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-07-29 |