Individual
NONA NICULESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 12TH AVE S, SEATTLE, WA 98144-2712
(425) 744-7153
(425) 775-7128
Mailing address
1200 12TH AVE S, SEATTLE, WA 98144
(425) 744-7153
(425) 755-7128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
161410
OR
261QP2300X
Primary Care Clinic/Center
Primary
60661489
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003184946
—
OR
Enumeration date
12/07/2011
Last updated
03/01/2021
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