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

Nicole Fay Ptak

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629880588

Nicole Fay Ptak is a Student in an Organized Health Care Education/Training Program in Antioch, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3720 Sunset Ln Ste D
Antioch, CA 94509-6124
Phone: (925) 978-0208
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1629880588
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

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