Provider Demographics
NPI:1922257708
Name:YOUNG, NICOLE ALANIZ (RRT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:ALANIZ
Last Name:YOUNG
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8031 ARROYO DR
Mailing Address - Street 2:#1
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8150
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8031 ARROYO DR
Practice Address - Street 2:#1
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8150
Practice Address - Country:US
Practice Address - Phone:925-818-6949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25509227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered