Individual
HALEY M NUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-3407
Mailing address
1511 14TH AVE S APT 102, SEATTLE, WA 98144-7401
(443) 936-7818
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN60989569
WA
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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