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Nicollette Mitra, FNP
Family Nurse Practitioner in Brentwood, California
NPI 1295396125

Nicollette Mitra is a Family Nurse Practitioner based in Concord, CA and is specialized in Family. Nicollette Mitra practices in Brentwood, CA and has the professional credentials of FNP. The NPI Number for Nicollette Mitra is 1295396125 and holds a License No. 95010361 (California).

The current practice location address for Nicollette Mitra is 2400 Balfour Rd Ste 302, Brentwood, CA and can be reached out via phone at 925-285-2649.

Location: 2400 Balfour Rd Ste 302, Brentwood, CA, 94521-2439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295396125
Provider Name
Nicollette Mitra
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2400 Balfour Rd Ste 302, Brentwood, CA, 94521-2439
Phone Number
925-285-2649
Fax Number
Provider Enumeration Date
06/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2400 Balfour Rd Ste 302
City
Brentwood
State
California
Zip
94513-4955
Phone Number
925-285-2649
Fax Number
person
Provider Business Mailing Address Details
Address
2400 Balfour Rd Ste 302
City
Brentwood
State
California
Zip
94513-4955
Phone Number
925-285-2649
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95010361 (California)
Definition
Definition to come...
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