| Nicole Terese Suprovici, MD | |
|
1 Main St, San Quentin, CA 94964-1000 | |
| (415) 454-1460 | |
| Not Available |
| Full Name | Nicole Terese Suprovici |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1 Main St, San Quentin, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689715120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | NONE (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Terese Suprovici, MD 1 Main St, San Quentin, CA 94964-1000 Ph: (415) 454-4160 | Nicole Terese Suprovici, MD 1 Main St, San Quentin, CA 94964-1000 Ph: (415) 454-1460 |
Dr. Steven Charles Gibbs, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, California State Prison, Mental Health Dept., San Quentin, CA 94964 Phone: 415-454-1460 Fax: 415-256-7312 | |
Dr. Bradley Kenneth Deal, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13 Main St., San Quentin Prison, San Quentin, CA 94964 Phone: 415-454-1460 | |
Amar Mehta, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, San Quentin, CA 94964 Phone: 415-454-1460 | |
Harun Evcimen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Main St. H-unit Yard Tele Psychiatry, Cdcr San Quetin State Prison, San Quentin, CA 94964 Phone: 415-454-1460 | |
Paul Burton, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, Chsb-5th Floor, San Quentin, CA 94964 Phone: 415-820-1581 Fax: 415-820-1582 |