Individual
NICOLE WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1003 KOALA DR, OMAK, WA 98841-9247
(509) 422-5700
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 422-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61480847
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/13/2020
Last updated
10/18/2023
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