Provider Demographics
NPI:1942654587
Name:MCFARLAND, NICOLE (DO)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15237 ELEVENTH ST STE C
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-3736
Mailing Address - Country:US
Mailing Address - Phone:760-493-9300
Mailing Address - Fax:760-493-9400
Practice Address - Street 1:15237 ELEVENTH ST STE C
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-3736
Practice Address - Country:US
Practice Address - Phone:760-493-9300
Practice Address - Fax:760-493-9400
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A21011207Q00000X
OK6319207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine