NICOLE ROSE STANARD RN
NPI 1174038244
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WP0807X and a focus in Psychiatric/Mental Health, Child & Adolescent.

Active since December 11, 2017

4309 3RD AVE, SAN DIEGO, CA 92103(619) 876-4502 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nicole Rose Stanard Rn NPPES

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

NICOLE ROSE STANARD RN (NPI 1174038244) is an individual psychiatric/mental health, child & adolescent provider in San Diego, California, licensed in California (95128218) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1174038244

Entity TypeIndividualFemale

Primary Taxonomy163WP0807X

Provider Legal NameNICOLE ROSE STANARDCredential: RN

Location Address4309 3RD AVESan Diego, CA 92103-1407

Mailing Address12808 Willow RdLakeside, CA 92040-1813 · (619) 928-1346

Phone(619) 876-4502

Sole ProprietorNo

Enumeration DateDecember 11, 2017

✔ NPI 1174038244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers

Taxonomy Code163WP0807X

License✔ Licensed in CA · 95128218

4309 3RD AVE, San Diego, CA 92103

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Other Names 1

Former Name (1)Nicole Rose Pipitone

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.

KELLIE AGUILERA

Marriage & Family Therapist