Individual
NICOLE SECHRIST CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
520 LILLY RD NE, BLDG 1, OLYMPIA, WA 98506-5255
(360) 438-9092
(360) 438-3906
Mailing address
520 LILLY RD NE, BLDG 1, OLYMPIA, WA 98506-5255
(360) 438-9092
(360) 438-3906
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO6YO
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109560
—
WA
01
—
CA2730
REGENCE RIDER
WA
Enumeration date
10/26/2006
Last updated
07/05/2018
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