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

NICOLE TERESE SUPROVICI, MD

Active

NICOLE TERESE SUPROVICI, MD is a Psychiatry healthcare provider located in SAN QUENTIN, California. NPI 1689715120 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · SAN QUENTIN, CA

Registration Details

NPI Number
1689715120
Provider Type
Individual
Gender
Female
NPI Issued
Feb 9, 2007 (19.50105719725 yrs)
Last Updated
Feb 9, 2016
License
NONE (CA)

Practice Information

Address
1 MAIN ST
SAN QUENTIN, CA, 949641000
Browse CA providers · Browse ZIP 94964
Phone
4154541460
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in SAN QUENTIN, CA

Name Credential NPI
DR. BRADLEY KENNETH DEAL M.D. 1518958743
PAUL BURTON M.D. 1780880088
HARUN EVCIMEN M.D. 1760636864
AMAR MEHTA M.D. 1538464912
DR. DEVIN MICHAEL STROMAN M.D. 1811247810
DR. STEVEN CHARLES GIBBS MD 1043554116
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.