NICOLLETTE MITRA FNP
NPI 1295396125
Nurse Practitioner - Family in Brentwood, CA

Active since June 21, 2019
2400 BALFOUR RD STE 302, BRENTWOOD, CA 94513(925) 285-2649 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicollette Mitra Fnp NPPES

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

NICOLLETTE MITRA FNP (NPI 1295396125) is an individual family provider in Brentwood, California, licensed in California (95010361) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1295396125
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLLETTE MITRACredential: FNP
Location Address2400 BALFOUR RD STE 302Brentwood, CA 94513-4955
Mailing Address1871 Camino EstradaConcord, CA 94521-2439 · (925) 285-2649
Sole ProprietorNo
Enumeration DateJune 21, 2019
NPI 1295396125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95010361
2400 BALFOUR RD STE 302, Brentwood, CA 94513

Other Names 1

Former Name (1)Nicollette Guillen

Other Providers at the Same Location NPPES

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

Pediatrics
2400 BALFOUR RD STE 302
BRENTWOOD, CA 94513

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicollette Mitra's NPI number?

The NPI number for Nicollette Mitra is 1295396125. It was assigned to this individual provider in the NPPES registry on June 21, 2019. The provider is also known as Nicollette Guillen.

Where is Nicollette Mitra located?

Nicollette Mitra practices at 2400 Balfour Rd Ste 302, Brentwood, CA 94513. The listed phone number is (925) 285-2649.

What is Nicollette Mitra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nicollette Mitra was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.