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Nicole Hangsterfer
Medical Physician Assistant in San Diego, California
NPI 1053707810

Nicole Hangsterfer is a Medical Physician Assistant based in San Diego, CA and is specialized in Medical. Nicole Hangsterfer practices in San Diego, CA. The NPI Number for Nicole Hangsterfer is 1053707810 and holds a License No. (California).

The current practice location address for Nicole Hangsterfer is 6195 Lusk Blvd Ste 250, San Diego, CA and can be reached out via phone at 858-859-1188.

Location: 6195 Lusk Blvd Ste 250, San Diego, CA, 92121-3715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053707810
Provider Name
Nicole Hangsterfer
Credential
Provider Entity Type
Individual
Gender
Female
Address
6195 Lusk Blvd Ste 250, San Diego, CA, 92121-3715
Phone Number
858-859-1188
Fax Number
Provider Enumeration Date
04/08/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085.005922 01 IL PHYSICIAN ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
6195 Lusk Blvd Ste 250
City
San Diego
State
California
Zip
92121-3715
Phone Number
858-859-1188
Fax Number
person
Provider Business Mailing Address Details
Address
6195 Lusk Blvd Ste 250
City
San Diego
State
California
Zip
92121-3715
Phone Number
858-859-1188
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA55858 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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