Provider Demographics
NPI:1144104233
Name:NICKEL, WILLIAM LINUS
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:LINUS
Last Name:NICKEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7556 CHARMANT DR APT 1716
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5056
Mailing Address - Country:US
Mailing Address - Phone:203-939-4717
Mailing Address - Fax:
Practice Address - Street 1:435 S CEDROS AVE STE 304
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2089
Practice Address - Country:US
Practice Address - Phone:424-251-4812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-02
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula