Individual
NICOLE THERESA REES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3815 S OTHELLO ST, SEATTLE, WA 98118-3510
(206) 788-3500
(206) 788-3521
Mailing address
3815 S OTHELLO ST, SEATTLE, WA 98118-3510
(206) 788-3500
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
06/02/2026
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