Provider Demographics
NPI:1093867715
Name:DENNIS, NICOLE B (MS)
Entity Type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:B
Last Name:DENNIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KAISER PERMANENTE GENETICS DEPARTMENT
Mailing Address - Street 2:280 W. MACARTHUR BLVD
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611
Mailing Address - Country:US
Mailing Address - Phone:510-752-6298
Mailing Address - Fax:510-752-6754
Practice Address - Street 1:280 W MACARTHUR BLVD
Practice Address - Street 2:GENETICS DEPARTMENT
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5642
Practice Address - Country:US
Practice Address - Phone:510-752-6298
Practice Address - Fax:510-752-6754
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS