Individual
NICOLE ANN PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 344-1317
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8182
AZ
363A00000X
Physician Assistant
PA10004404
WA
363A00000X
Physician Assistant
PA200002371
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299430
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8327264
—
WA
Enumeration date
10/13/2006
Last updated
01/27/2026
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