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

NICOLE M NEWHAUSER, PA

Active

NICOLE M NEWHAUSER, PA is a Surgical Physician Assistant healthcare provider located in SAN RAFAEL, California. NPI 1124190004 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · SAN RAFAEL, CA

Registration Details

NPI Number
1124190004
Provider Type
Individual
Gender
Female
NPI Issued
Nov 15, 2006 (19.736370879261 yrs)
Last Updated
Oct 3, 2023
Licenses
PA16057 (CA)
PA16057 (CA)

Practice Information

Address
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA, 949035233
Browse CA providers · Browse ZIP 94903
Phone
4159258963
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in SAN RAFAEL, CA

Name Credential NPI
JESSICA JANE DANIEL PA-C 1790278190
RYAN GREGORY ANSARI 1861056475
SAMANTHA XIAOYING FANG PA-C 1720708365
ALEXANDER ESCOBAR PA 1912777418
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.