Individual
NICOLE CHRISTINE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 696-4061
Mailing address
1806 SE 154TH AVE, VANCOUVER, WA 98683-9010
(541) 968-5916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61342277
WA
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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