Individual
NICOLE MARIE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1229 MADISON ST, SUITE 1480, SEATTLE, WA 98104-3586
(206) 346-6647
(206) 346-6022
Mailing address
1229 MADISON ST, SUITE 1480, SEATTLE, WA 98104-3586
(206) 346-6647
(206) 346-6022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60253481
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841371960
GROUP NPI
WA
01
—
GAB37422
GROUP PTAN
WA
Enumeration date
04/27/2010
Last updated
04/16/2015
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