Nicole Anastasia Spooner
NURSE PRACTITIONER | Nurse Practitioner | 9+ years Exp
1612 Julia St, Berkeley
California, 94703
415-307-4566
Accepts Medicare Nurse Anesthetist in Berkeley, California.Nicole Anastasia Spooner is a Berkeley, California based nurse practitioner with 9 years of experience in Nurse Practitioner. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicole Anastasia Spooner is 95005748 for Family in California. Her current practice location is 1612 Julia St, Berkeley. Patients can reach her at 415-307-4566 or can fax her at 415-206-4153. Nicole Anastasia Spooner is NURSE PRACTITIONER with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1508186644.
Nicole Anastasia Spooner has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Nicole Anastasia Spooner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Nicole Anastasia Spooner |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2016 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1612 Julia St, Berkeley, California, 94703 |
| Phone: | 415-307-4566 |
| Fax: | 415-206-4153 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5294001384 |
| Enrollment ID: | I20171017002378 |
| NPI Number: | 1508186644 |
| NPI Enumeration Date: | 10 Jun, 2010 |
| NPI Last Update On: | 05 Jul, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Anastasia Spooner are as mentioned below.
| License Number | Specialization | State | Status | |
| 95005748 | Family | California | Primary | |
| 755783 | Registered Nurse | California | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Nicole Anastasia Spooner is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Union Square Dermatology A Professional Corporation (1355406174) | 3 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nicole Anastasia Spooner 1612 Julia St, Berkeley, California |
| Zip: | 94703-2018 |
| Phone Number: | 415-307-4566 |
| Fax Number: | 415-206-4153 |
Patients can reach Nicole Anastasia Spooner at
1612 Julia St, Berkeley, California or can
call to book an appointment on 415-307-4566.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.