Mary Nicole Alltop, RN
Individual provider Active NPI Registered Nurse · Oceanside, CA
NPI 1013130111 · NPPES record last updated Feb 14, 2010
Key facts
- NPI
- 1013130111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 757233 (CA)
- Practice address
- 602 Vaquero CT
Oceanside, CA 92058-6755 - Phone
- (210) 386-7753
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 757233 | CA | MD | Registered Nurse |
| 222011 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 222011 | CA | |
| Registered Nurse | 163W00000X | 757233 | CA | Yes |
Addresses
Primary practice location
602 Vaquero CT
Oceanside, CA 92058-6755
Mailing address
602 Vaquero CT
Oceanside, CA 92058-6755
Phone (210) 386-7753
Other providers in Oceanside, CA
- Thomas Allen
- William Michael Allen
- Heather Deanne Allenby
- Neville Alleyne
- Aaron Allon
- Mazer Ricky Ally
- Catherine Marie Almanza
- Helenie Sanne Reyes Alminar
- Frederick David Alpern
- Alpida Pharmaceutical Inc
All providers in Oceanside, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.