Nichole L Smith PA

NPI 1063516748 - Physician Assistant - 363A00000X

NPI Details
NPI 1063516748
Gender Female
Enumeration Date 09/12/2006
Last Updated 11/09/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
505 S 336TH ST
SUITE 600
FEDERAL WAY WA, 98003-5947, US
Phone (253) 838-6180
Fax (253) 838-6285
Business Location
505 S 336TH ST
SUITE 600
FEDERAL WAY WA, 98003-5947, US
Phone (253) 838-6180
Fax (253) 838-6285
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 004867
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According to our database, Nichole L Smith PA NPI is 1063516748, taxonomy code is 363A00000X and license number is 004867, license state is located at Michigan. Nichole L Smith PA physically located at 505 S 336th St, Federal Way WA, 98003-5947. NPI Number Nichole L Smith PA has the Individual type.

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1063516748 NPI number is provided on an as is basis without warranty of any kind. 1063516748 is maintained by the National Plan & Provider Enumeration System. The contents of Nichole L Smith PA are for informational purposes only.