Individual provider · Type 1 NPI

Nicole Natividad

Rehabilitation Practitioner · Santa Rosa, CA

NPI number 1609585116 Active

Practice location

2235 Mercury Way Ste 107
Santa Rosa, CA 95407-5472

Call (707) 494-0762 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XMPSS-FUSKZE (CA)
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1609585116

Nicole Natividad's National Provider Identifier is 1609585116, issued on Nov 23, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 23, 2026.