Avila-Parker, Nicole

Avila-Parker, Nicole is an individual health care provider with primary practice located at 1550 S Pioneer Way Ste 165 , Moses Lake WA 98837-4637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Avila-Parker, Nicole can be contacted via phone (509) 793-9780.

Contact Information

Primary practice address
1550 S Pioneer Way Ste 165 Moses Lake WA 98837-4637
Phone: (509) 793-9780
Fax: (509) 764-3244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60633381 Washington

Profile Details

NPI number 1295192540
LBN Legal business name Avila-Parker, Nicole
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2016
Last updated Jan 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295192540 NPPES
Washington Other G8985877 MEDICARE PIN
Washington Other P01626675 MEDICARE PIN
Washington MEDICAID 1295192540 MEDICARE PIN
Washington MEDICAID 2056200 MEDICARE PIN

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