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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MERVYN BERTRAND NICHOLAS, PA

Active

MR. MERVYN BERTRAND NICHOLAS, PA is a Medical Physician Assistant healthcare provider located in VALLEJO, California. NPI 1104854728 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · VALLEJO, CA

Registration Details

NPI Number
1104854728
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2006 (20.118650747282 yrs)
Last Updated
Jul 8, 2007
License
PA15023 (CA)

Practice Information

Address
5505 BORDEAUX CT
VALLEJO, CA, 945916308
Browse CA providers · Browse ZIP 94591
Phone
7079800372
Fax
9253722804
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in VALLEJO, CA

Name Credential NPI
CAREY L CANO PA-C 1114986809
MARGARET MALIG NONATO PA-C 1013961572
JOHN HOWARD ALEXANDER PA-C 1023056983
MRS. JOY AMANDA MOVERLEY MPH, PA-C 1285996611
MRS. JOSIE AUBREY HUNT PA-C, MPH 1396093852
KASAUNDRA RAE HEIBERGER PA-C, MPH 1912398025
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.