Individual
NICOLE THERESA REES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11102 SUNRISE BLVD E STE 104, PUYALLUP, WA 98374-8846
(253) 848-8797
(253) 845-1114
Mailing address
11102 SUNRISE BLVD E STE 104, PUYALLUP, WA 98374-8846
(253) 848-8797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2019-0048
NM
363A00000X
Physician Assistant
Primary
PA61274889
WA
363LP0200X
Pediatric Nurse Practitioner
PA19315
TX
Other
Enumeration date
05/24/2019
Last updated
04/21/2026
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