Nichole Lavender, PA-C Valid NPI

Individual provider · Physician Assistant · Port Townsend, WA

NPI

1669071502

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

61101345 (WA)

Sex

Female

Sole proprietor

No

Enumerated

2020-10-21

Last updated

2023-02-03