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Individual

NICHOLAS BRIDEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8609 EVERGREEN WAY, EVERETT, WA 98208-2619
(425) 789-3740
Mailing address
8609 EVERGREEN WAY, EVERETT, WA 98208-2619
(425) 789-3740

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60320085
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61450295
WA

Other

Enumeration date
08/28/2020
Last updated
10/29/2023
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