Individual
NICOLE ELIZABETH DUSSAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61660446
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD.61660446
WA
Other
Enumeration date
04/01/2021
Last updated
08/12/2025
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