Provider Demographics
NPI:1306186309
Name:BRINTON, NADINE RENEE (DC)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:RENEE
Last Name:BRINTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:131 CAMINO ALTO
Mailing Address - Street 2:SUITE F
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2254
Mailing Address - Country:US
Mailing Address - Phone:415-383-9903
Mailing Address - Fax:415-383-9901
Practice Address - Street 1:45 SAN CLEMENTE DR STE B220
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-3311
Practice Address - Country:US
Practice Address - Phone:415-259-6087
Practice Address - Fax:510-284-3661
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32457111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA12510672OtherCAQH