Provider Demographics
NPI:1598982886
Name:DUCHARME, NICOLA LOUISE (ND)
Entity Type:Individual
Prefix:DR
First Name:NICOLA
Middle Name:LOUISE
Last Name:DUCHARME
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:NICOLA
Other - Middle Name:LOUISE
Other - Last Name:MCFADZEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:928 FORT STOCKTON DR
Mailing Address - Street 2:SUITE 213
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-1881
Mailing Address - Country:US
Mailing Address - Phone:619-546-4065
Mailing Address - Fax:619-270-2582
Practice Address - Street 1:928 FORT STOCKTON DR
Practice Address - Street 2:SUITE 213
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-1881
Practice Address - Country:US
Practice Address - Phone:619-546-4065
Practice Address - Fax:619-270-2582
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND27175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath