# DR. NANCY L NILES II

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1144258435
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | MD00017593 | WA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD00017593 | WA | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 04/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1022425 | — | WA |
| 01 | — | 110018087 | RR MEDICARE | WA |