Individual provider · Type 1 NPI

Nicole Marie Gentry, LMP

Specialist · Mount Vernon, WA

NPI number 1609199967 Active

Practice location

2114 Riverside Dr, Suite 103
Mount Vernon, WA 98273-5453

Call (136) 848-1934 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA 00019293 (WA)

Specialist: 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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About NPI 1609199967

Nicole Marie Gentry, LMP's National Provider Identifier is 1609199967, issued on Mar 1, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mount Vernon, WA. The record was last updated on Mar 1, 2010.