NICOLE HANGSTERFER - NPI 1053707810 - Physician Assistant in San Diego, CA

Q: What is Nicole Hangsterfer's NPI number?

The NPI number for Nicole Hangsterfer is 1053707810. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Q: What is Nicole Hangsterfer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

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About Nicole Hangsterfer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE HANGSTERFER (NPI 1053707810) is an individual medical provider in San Diego, California, licensed in California (PA55858) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1053707810

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNICOLE HANGSTERFER

Location Address6195 LUSK BLVD STE 250San Diego, CA 92121-3715

Mailing Address6195 Lusk Blvd Ste 250San Diego, CA 92121-3715 · (858) 859-1188

Phone(858) 859-1188

Sole ProprietorNo

Enumeration DateApril 8, 2015

Last NPPES UpdateDecember 5, 20224 updates tracked since enumeration

NPPES CertifiedDecember 5, 2022

✔ NPI 1053707810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA55858

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6195 LUSK BLVD STE 250, San Diego, CA 92121

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Other Identifiers 1

Other085.005922IL · Physician Assistant License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEX BOLTON APRN

Nurse Practitioner (Family)