Individual provider · Type 1 NPI

Nicole M. Newhauser, PA

Surgical Physician Assistant · San Rafael, CA

NPI number 1124190004 Active

Practice location

4000 Civic Center Dr Ste 209
San Rafael, CA 94903-5233

Call (415) 925-8963 Map

Mailing address

2100 Powell St, Suite 900
Emeryville, CA 94608-1826

Other practice locations

  • 250 Bon Air Rd, Greenbrae, CA 94904-1702 · (415) 925-7200

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA16057 (CA)
Surgical Physician Assistant Primary 363AS0400XPA16057 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1124190004

Nicole M. Newhauser, PA's National Provider Identifier is 1124190004, issued on Nov 15, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Rafael, CA. The record was last updated on Oct 3, 2023.