Nicole Arredondo
Individual provider Active NPI Phlebology Physician · Moses Lake, WA
NPI 1639939481 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1639939481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Phlebology Physician 202K00000X
- License
- PC60356597 (WA)
- Practice address
- 7795 Grove Rd NE
Moses Lake, WA 98837-9819 - Phone
- (509) 760-6843
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC60356597 | WA | MD | Phlebology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quick Draw Mobile Phlebotomy Service | Single Specialty | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician |
202K00000X | PC60356597 | WA | Yes |
Addresses
Primary practice location
7795 Grove Rd NE
Moses Lake, WA 98837-9819
Mailing address
7795 Grove Rd NE
Moses Lake, WA 98837-9819
Phone (509) 760-6843
Other providers in Moses Lake, WA
- Paula Antonio
- Carissa Lynn Armstrong
- Jody Annette Armstrong
- Erik A Arnits
- Eric Aronsohn
- Jasmine Rincon Arroyo
- Heather Arts
- Samuel Artsiukh
- Jeffrey George Atkinson
- Steven Glenn Ausere
All providers in Moses Lake, WA · Phlebology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.