Individual
NICOLE BRIE WHITE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1560 N 115TH ST, SUITE 102, SEATTLE, WA 98133-8414
(206) 368-1230
Mailing address
1560 N 115TH ST, SUITE 102, SEATTLE, WA 98133-8414
(206) 368-1230
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00043626
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588630321
—
WA
01
—
MD00043626
WA STATE LICENSE
WA
Enumeration date
02/23/2006
Last updated
01/16/2015
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