# NICOLE O'MALLEY

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

## Provider details

- **NPI number:** 1558775486
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9408481 | KS | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | 61470679 | WA | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | DR.0066683 | CO | — |

## Other

- **Enumeration date:** 06/18/2014
- **Last updated:** 12/05/2023