Individual provider · Type 1 NPI

Nicollette Mitra, FNP

Family Nurse Practitioner · Brentwood, CA

NPI number 1295396125 Active

Practice location

2400 Balfour Rd Ste 302
Brentwood, CA 94513-4955

Call (925) 285-2649 Map

Mailing address

1871 Camino Estrada
Concord, CA 94521-2439

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95010361 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1295396125

Nicollette Mitra, FNP's National Provider Identifier is 1295396125, issued on Jun 21, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brentwood, CA. The record was last updated on Jun 21, 2019.