Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Heather Marie Nudo, PA

Individual provider MOHS-Micrographic Surgery Physician · NPI 1518077411

Mrs. Heather Marie Nudo, PA is a Physician Assistant in Walnut Creek, California. Qualified in 2005, 21 years ago. Practices with Jerome R Potozkin MD, a Professional Corporation, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

110 Tampico Ste 200
Walnut Creek, CA 94598-2998
Phone: (925) 838-4900
Fax: (925) 838-4920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence PA18334 (CA)

Record details

NPI number1518077411
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESNovember 14, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Jerome R Potozkin Md, A Professional Corporation — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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