Provider Demographics
NPI:1558785634
Name:GURULE, NICHELLE FRANCAVILLA (DC)
Entity Type:Individual
Prefix:
First Name:NICHELLE
Middle Name:FRANCAVILLA
Last Name:GURULE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 UNIVERSITY AVE STE K
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030-6037
Mailing Address - Country:US
Mailing Address - Phone:408-884-8229
Mailing Address - Fax:
Practice Address - Street 1:11336 W 104TH AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021
Practice Address - Country:US
Practice Address - Phone:303-717-6323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-10
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007209111N00000X
CA32817111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Yes111N00000XChiropractic ProvidersChiropractor