Provider Demographics
NPI:1912428574
Name:MEHR, NICOLE NAZ (DPM)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:NAZ
Last Name:MEHR
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W ARRELLAGA ST STE E
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-5948
Mailing Address - Country:US
Mailing Address - Phone:805-699-5881
Mailing Address - Fax:805-244-0429
Practice Address - Street 1:101 W ARRELLAGA ST STE E
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-5948
Practice Address - Country:US
Practice Address - Phone:805-699-5881
Practice Address - Fax:805-244-0429
Is Sole Proprietor?:No
Enumeration Date:2017-07-03
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5766213ES0103X, 213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery