Individual
NICOLE ALISHA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNOR, RNFA
Contact information
Practice address
3901 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 528-8567
Mailing address
135 GRIMES RD, CENTRALIA, WA 98531-8910
(360) 623-0352
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN00160053
WA
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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