Patina, Nicole Lee
Patina, Nicole Lee is an individual health care provider with primary practice located at 1550 Irving St Sw , Tumwater WA 98512-6358. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Patina, Nicole Lee can be contacted via phone (360) 507-8030.Contact Information
Primary practice address
1550 Irving St Sw
Tumwater WA 98512-6358
Phone: (360) 507-8030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60601655 | Washington |
Profile Details
| NPI number | 1992294078 |
|---|---|
| LBN Legal business name | Patina, Nicole Lee |
| Credentials | CDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2018 |
| Last updated | Aug 7th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992294078 | NPPES |
| Washington | Other | CP60601655 | CDP |
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