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MS. DELIA RUTH NICKOLAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
4800 SAND POINT WAY NE, DEPARTMENT OF NEUROLOGY, MS B-5552, SEATTLE, WA 98105-3901
(206) 987-4454
Mailing address
2311 N 45TH ST, #101, SEATTLE, WA 98103-6905
(206) 987-4454

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30007689
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137614
AZ
Enumeration date
06/22/2006
Last updated
07/08/2007
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