Nikole Petzoldt, is a
Registered Nurse based in Bonita, California. Nikole Petzoldt is licensed to practice in California (license number 95229788) and her current practice location is
3702 Wild Oats Ln, Bonita, California. She can be reached at her office (for appointments etc.) via phone at
(619) 857-3026.
NPI number for Nikole Petzoldt is 1215515705 and her current mailing address is 3702 Wild Oats Ln, Bonita, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215515705.
Provider's Profile
| Full Name | Nikole Petzoldt |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 3702 Wild Oats Ln, Bonita, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215515705
- Provider Enumeration Date: 03/29/2021
- Last Update Date: 03/29/2021
Medical Identifiers
Medical identifiers for Nikole Petzoldt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215515705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 95229788 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nikole Petzoldt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nikole Petzoldt,
3702 Wild Oats Ln,
Bonita, CA 91902-3048
Ph: () - | Nikole Petzoldt,
3702 Wild Oats Ln,
Bonita, CA 91902-3048
Ph: (619) 857-3026 |
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