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

Nicole Petrosky, PA-C

Individual provider Physician Assistant · NPI 1659256774

Nicole Petrosky, PA-C is a Physician Assistant in Corte Madera, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1716 Redwood Hwy # A025
Corte Madera, CA 94925-1249
Phone: (415) 532-3637
Show map & directions

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

Additional practice locations (2)

  • 4 Canterbury Ct, Petaluma, CA 94954-4675 — (856) 776-9360
  • 337 Green St, San Francisco, CA 94133-4103 — (856) 776-9360

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54320 (CA)

Record details

NPI number1659256774
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

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