Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY C MCNICHOLAS, PA
ActiveMARY C MCNICHOLAS, PA is a Physician Assistant healthcare provider located in EMERYVILLE, California. NPI 1295791960 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EMERYVILLE, CA
Registration Details
- NPI Number
- 1295791960
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2006 (20.287068768909 yrs)
- Last Updated
- Dec 16, 2008
- License
-
PA14376 (CA)
Practice Information
- Address
-
2100 POWELL STSUITE 920EMERYVILLE, CA, 946081826Browse CA providers · Browse ZIP 94608
- Phone
- 5103502655
- Fax
- 5108799071
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in EMERYVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL M TALTY | P.A. | 1477513596 |
| JOHN L HARDIN | PAC | 1215032982 |
| MRS. ANTONETTE ANDRES JESKE | P.A. | 1902992779 |
| MARGARET MANDRY | PA-C | 1295812295 |
| RICHARD WILLIAM SMALLWOOD | — | 1467539486 |
| JAMES FLAGER | — | 1841360781 |
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.