Individual
MRS. NICOLE MARIE VAN DE VOORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000
Mailing address
10414 NE 95TH AVE, VANCOUVER, WA 98662-3414
(503) 545-8363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201601307RN
OR
163WE0003X
Emergency Registered Nurse
201601307RN
OR
163WM0102X
Maternal Newborn Registered Nurse
201601307RN
OR
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
201601307RN
OR
171000000X
Military Health Care Provider
201601307RN
OR
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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