# NICOLE ABDULLAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285032268
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0010-13108 | NC | — |
| 363A00000X | Physician Assistant | 11030 | GA | — |
| 363A00000X | Physician Assistant | 1547278 | NY | — |
| 363A00000X | Physician Assistant | 4860 | SC | — |
| 363A00000X | Physician Assistant | 5845 | AZ | — |
| 363A00000X | Physician Assistant | C0008248 | MD | — |
| 363A00000X | Physician Assistant | PA.0007287 | CO | — |
| 363A00000X | Physician Assistant | PA15814 | TX | — |
| 363A00000X | Physician Assistant | PA60514722 | WA | Yes |

## Other

- **Enumeration date:** 12/08/2014
- **Last updated:** 05/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1285032268 | — | WA |
| 01 | — | 339454 | WVH LNI | WA |
| 01 | — | P01461864 | RR MEDICARE WVH | WA |