Individual
NICOLE B. SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 112TH AVE NE STE 100, BELLEVUE, WA 98004-4509
(425) 688-8111
Mailing address
1110 112TH AVE NE STE 100, BELLEVUE, WA 98004-4509
(425) 688-8111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
19463
HI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
61131483
WA
390200000X
Student in an Organized Health Care Education/Training Program
MDR 6680
HI
Other
Enumeration date
05/05/2014
Last updated
05/05/2022
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