Individual
NICOLE BRUEY-PERNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7000
Mailing address
6589 N RENDEZVOUS DR, COEUR D ALENE, ID 83815-0068
(936) 203-6759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
67422
ID
363L00000X
Nurse Practitioner
Primary
AP61151485
WA
363LA2100X
Acute Care Nurse Practitioner
67422
ID
Other
Enumeration date
07/31/2020
Last updated
07/22/2025
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