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Individual

NICKOLAS MCCONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-1570
Mailing address
515 3RD AVE, SEATTLE, WA 98104-2304

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN60483799
WA

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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