Provider Demographics
NPI:1669042438
Name:NIEVES, ALDRIN UGAY (DNP, NP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ALDRIN
Middle Name:UGAY
Last Name:NIEVES
Suffix:
Gender:M
Credentials:DNP, NP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 APPIAN WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94564-2565
Mailing Address - Country:US
Mailing Address - Phone:510-724-9110
Mailing Address - Fax:
Practice Address - Street 1:2160 APPIAN WAY STE 200
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2565
Practice Address - Country:US
Practice Address - Phone:510-724-9110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018134363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner