Most Relevant Information
Provider Data
| NPI Number: | 1003206103 |
| Provider Name: | NICOLE NINOFRANCO ALCANTARA N.P. |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95000408 |
Most Important Dates
| Enumeration Date: | 01/27/2015 |
| Last Updated: | 01/27/2015 |
Provider Practice Location
14642 NEWPORT AVENUE SUITE 200
TUSTIN
CA
92780
Practice Location Phone/Fax
| Phone: | 7146694466 |
| Fax: |
Provider Mailing Location
14642 NEWPORT AVENUE SUITE 200
TUSTIN
CA
92780
Provider Mailing Phone/Fax
| Phone: | 7146694466 |
| Fax: |