Individual
NICOLE L MCVARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17012 AURORA AVE N, SHORELINE, WA 98133-5315
(206) 788-8807
(866) 329-2785
Mailing address
17012 AURORA AVE N, SHORELINE, WA 98133-5315
(206) 788-8807
(866) 329-2785
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT60968663
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60968663
STATE LICENSE
WA
Enumeration date
06/16/2021
Last updated
07/08/2021
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