Provider Demographics
NPI:1922352681
Name:DOWNER, NICOLE DENISE (NP, RN, CPNP)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:DENISE
Last Name:DOWNER
Suffix:
Gender:F
Credentials:NP, RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 SANTA ROSA PLACE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109
Mailing Address - Country:US
Mailing Address - Phone:321-271-8195
Mailing Address - Fax:
Practice Address - Street 1:1532 ANACAPA STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101
Practice Address - Country:US
Practice Address - Phone:805-892-4141
Practice Address - Fax:805-965-6990
Is Sole Proprietor?:No
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22448363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics