MRS. NICOLE MARIE GENTRY LMP
NPI 1609199967
Specialist in Mount Vernon, WA
- Individual
- Female
- Specialist
About NICOLE GENTRY
This page provides the complete NPI Profile along with additional information for Nicole Gentry, a provider established in Mount Vernon, Washington with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1609199967 assigned on March 2010. The practitioner's primary taxonomy code is 174400000X with license number MA 00019293 (WA). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1609199967 Verify this NPI
- Provider Name
- MRS. NICOLE MARIE GENTRY LMP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2114 RIVERSIDE DR SUITE 103 MOUNT VERNON, WA 98273
- Location Phone
- (136) 848-1934
- Mailing Address
- 2114 RIVERSIDE DR SUITE 103 MOUNT VERNON, WA 98273
- Mailing Phone
- (136) 848-1934
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-01-2010
- Last Update Date
- 03-01-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MA 00019293
- License State
- WA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609199967, enumerated as an "individual" on March 01, 2010.
The provider is located at 2114 RIVERSIDE DR SUITE 103 MOUNT VERNON, WA 98273 and the phone number is (136) 848-1934.
Specialist with taxonomy code 174400000X.
