Nicole Carrie Albertson, PA-C
Physician Assistant in Culver City, CA. Individual provider (NPI-1).
NPI number1366078065
StatusActive
Last updated in NPPESOct 31, 2023
Details
- NPI
- 1366078065
- Entity type
- Individual (NPI-1)
- Name
- Nicole Carrie Albertson
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2020
- Certification date
- Oct 30, 2023
- Last updated
- Oct 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10000 | CA | Yes |
| 363A00000X | Physician Assistant | PA031753 | DC | |
| 363A00000X | Physician Assistant | 0110-007125 | VA |
Practice location
13365 Washington BlvdCulver City, CA 90232-9023
Phone 310-504-1825 · Fax 888-972-1912
Mailing address
2920 Telegraph Ave Ste 100Berkeley, CA 94705-2031
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All 13 Physician Assistant providers in Culver City · All 4,436 providers in Culver City
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