NICOLE SUPROVICI, MD

Psychiatry & Neurology - Psychiatry

Active Individual
NPI: 1689715120

Practice Address

1 MAIN ST
San Quentin, CA 94964

Phone: (415) 454-1460

Specialties

Specialty Code Primary License
Psychiatry & Neurology - Psychiatry 2084P0800X Yes NONE (CA)

Frequently Asked Questions

NPI 1689715120 is the National Provider Identifier for NICOLE SUPROVICI, MD, a Psychiatry & Neurology - Psychiatry provider located in San Quentin, CA. This NPI was enumerated on February 9, 2007.
NICOLE SUPROVICI, MD practices at 1 MAIN ST, San Quentin, CA 94964.

Quick Facts

NPI
1689715120
Type
Individual
Enumerated
Feb 9, 2007
Last Updated
Feb 9, 2016

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