Individual
NICOLA CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5408
(425) 303-3096
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
66438
WI
2084N0400X
Neurology Physician
Primary
MD61087549
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093109381
—
WI
Enumeration date
03/24/2015
Last updated
04/29/2026
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