NPI 1003126913

Douglas Nickels

Practitioner Case Manager/Care Coordinator Everett, WA

Practice location

Address: 4027 Hoyt Ave, Everett, WA 98201-4972
Phone: (425) 259-0966
Mailing address: PO Box 5127, Everett, WA 98206-5127

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1003126913
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2010
Record last updated: 13 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.