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

Nikole Petzoldt

Individual provider Registered Nurse · NPI 1215515705

Nikole Petzoldt is a Registered Nurse in Bonita, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

3702 Wild Oats Ln
Bonita, CA 91902-3048
Phone: (619) 857-3026
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95229788 (CA)

Record details

NPI number1215515705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 29, 2021
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing address3702 Wild Oats Ln, Bonita, CA 91902-3048

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