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Individual

MRS. NICKOLE MICHELLE PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
945 GOETHALS DR STE 200, RICHLAND, WA 99352
(509) 942-2555
(509) 942-2340
Mailing address
945 GOETHALS DR STE 200, RICHLAND, WA 99352-3552
(509) 942-2555
(509) 942-2340

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
AP60868183
WA
363LW0102X
Women's Health Nurse Practitioner
Primary
AP60868183
WA

Other

Enumeration date
08/14/2018
Last updated
06/23/2021
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