Individual provider · Type 1 NPI

Nicole Goldberg-Boltz, MD

Student in an Organized Health Care Education/Training Program · Santa Rosa, CA

NPI number 1093455784 Active

Practice location

3569 Round Barn Cir Ste 200
Santa Rosa, CA 95403-5784

Call (707) 583-8800 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1093455784

Nicole Goldberg-Boltz, MD's National Provider Identifier is 1093455784, issued on Mar 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Rosa, CA. The record was last updated on Mar 30, 2022.