Individual
NICOLE KRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10200 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-4743
(888) 227-3312
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60849369
WA
363LF0000X
Family Nurse Practitioner
21895
TN
Other
Enumeration date
11/10/2016
Last updated
05/18/2021
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