| Mr Mervyn Bertrand Nicholas, PA | |
|
5505 Bordeaux Ct, Vallejo, CA 94591-6308 | |
| (707) 980-0372 | |
| (925) 372-2804 |
| Full Name | Mr Mervyn Bertrand Nicholas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 5505 Bordeaux Ct, Vallejo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104854728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA15023 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mervyn Bertrand Nicholas, PA 5505 Bordeaux Ct, Vallejo, CA 94591-6308 Ph: (707) 980-0372 | Mr Mervyn Bertrand Nicholas, PA 5505 Bordeaux Ct, Vallejo, CA 94591-6308 Ph: (707) 980-0372 |
Ms. Virginia Jean Hens-piazza, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 243 Georgia Street, Suite B, Vallejo, CA 94590 Phone: 707-556-8100 Fax: 707-556-8107 | |
Thao-vy Thi Tran, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 Club Dr, Vallejo, CA 94592 Phone: 707-638-5200 | |
Carly Cole, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 Club Dr, Vallejo, CA 94592 Phone: 707-638-5809 | |
Ashley Nicole Ritualo Chan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 Club Dr, Vallejo, CA 94592 Phone: 707-638-5809 | |
Emily Spain, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 Club Dr, Vallejo, CA 94592 Phone: 707-638-5809 | |
Margaret Malig Nonato, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2290 Sacramento St, Vallejo, CA 94590 Phone: 707-643-5785 Fax: 707-643-8810 | |
John Howard Alexander, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2290 Sacramento St, Vallejo, CA 94590 Phone: 707-643-5785 Fax: 707-643-8810 |