Individual
NICOLE MARIE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9910 LEVIN RD NW STE 200, SILVERDALE, WA 98383-7789
(360) 692-8588
(360) 692-7030
Mailing address
17310 CITORI PL NW, POULSBO, WA 98370-9593
(360) 265-8781
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AP60956115
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/09/2019
Last updated
05/09/2019
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