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Individual
NICOLE THERESA LASSITER
Active
Individual
NICOLE THERESA LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00162588
WA
363L00000X
Nurse Practitioner
AP30007210
WA
367A00000X
Advanced Practice Midwife
AP30007210
WA
Other
Enumeration date
03/17/2006
Last updated
07/13/2026
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