Individual
NICOLE MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3901 W COURT ST, PASCO, WA 99301-2776
(866) 904-7721
Mailing address
3901 W COURT ST, PASCO, WA 99301-2776
(866) 904-7721
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP61055287
WA
Other
Enumeration date
02/12/2019
Last updated
07/01/2024
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