NPI 1033863451

Nicole Elizabeth Fung, PAC

Practitioner Physician Assistant Puyallup, WA

Practice location

Address: 2913 5th Ave NE STE 101, Puyallup, WA 98372-6748
Phone: (855) 255-1750

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1033863451
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Feb 2022
Record last updated: 19 Jul 2022

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.