Provider Demographics
NPI:1821324443
Name:NACHTWEY, NANCY JANE
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JANE
Last Name:NACHTWEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7768 STERLING DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-3043
Mailing Address - Country:US
Mailing Address - Phone:510-568-1888
Mailing Address - Fax:
Practice Address - Street 1:7768 STERLING DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-3043
Practice Address - Country:US
Practice Address - Phone:510-568-1888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3430171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist