Provider Demographics
NPI:1972282069
Name:PINOCCHIO, NICOLETTE (FNP-C)
Entity type:Individual
Prefix:
First Name:NICOLETTE
Middle Name:
Last Name:PINOCCHIO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NICOLETTE
Other - Middle Name:
Other - Last Name:SPITZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:410 E YOSEMITE AVE STE B
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8220
Practice Address - Country:US
Practice Address - Phone:209-722-9272
Practice Address - Fax:209-724-9329
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95026017363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner