Individual
NICOLE WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23320 HIGHWAY 99, EDMONDS, WA 98026-8744
(425) 640-5500
Mailing address
23320 HIGHWAY 99, EDMONDS, WA 98026-8744
(425) 640-5500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61174311
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/23/2019
Last updated
09/20/2021
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