Individual provider · Type 1 NPI

Nicole Amundson

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1609386648 Active

Practice location

5101 Market St Ste 2300
San Diego, CA 92114-2225

Fax (619) 866-6245

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone 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 1609386648

Nicole Amundson's National Provider Identifier is 1609386648, issued on Oct 4, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jul 27, 2026.