Individual provider · Type 1 NPI

Nicole Petrosky, PA-C

Physician Assistant · Corte Madera, CA

NPI number 1659256774 Active

Practice location

1716 Redwood Hwy # A025
Corte Madera, CA 94925-1249

Mailing address

4 Canterbury Ct
Petaluma, CA 94954-4675

Other practice locations

  • 4 Canterbury Ct, Petaluma, CA 94954-4675 · (856) 776-9360
  • 337 Green St, San Francisco, CA 94133-4103 · (856) 776-9360

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X54320 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1659256774

Nicole Petrosky, PA-C's National Provider Identifier is 1659256774, issued on Aug 7, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Corte Madera, CA. The record was last updated on Aug 7, 2025.