Individual
NICHOLE BRIANNE LOREE BARUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 814-6446
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 814-6446
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD61173681
WA
Other
Enumeration date
05/11/2017
Last updated
09/13/2021
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