Provider Demographics
NPI:1376975623
Name:ARMSTRONG, NICOLE ANDREA (MA)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:ANDREA
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:NICOLE
Other - Middle Name:ANDREA
Other - Last Name:LEMBKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 37TH AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-4324
Mailing Address - Country:US
Mailing Address - Phone:650-573-2541
Mailing Address - Fax:650-573-2841
Practice Address - Street 1:225 37TH AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-4324
Practice Address - Country:US
Practice Address - Phone:650-573-2541
Practice Address - Fax:650-573-2841
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program