Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICKOLAUS BURRELL
Active Sole ProprietorNICKOLAUS BURRELL is a Podiatric Surgery healthcare provider located in PASADENA, California. NPI 1700429669 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · PASADENA, CA
Registration Details
- NPI Number
- 1700429669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2019 (6.8349186420228 yrs)
- Last Updated
- Oct 23, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1640 EL SERENO AVEPASADENA, CA, 911031604Browse CA providers · Browse ZIP 91103
- Phone
- 6267980919
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.