Individual
NICOLE S GIBRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104
(206) 731-3241
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00027510
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231072
L&I
WA
05
—
1528147287
—
WA
01
—
8954
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
11/03/2006
Last updated
01/12/2012
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