Provider Demographics
NPI:1568166148
Name:NESBITT, NICOLETTE (CNM)
Entity Type:Individual
Prefix:
First Name:NICOLETTE
Middle Name:
Last Name:NESBITT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6918
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-0602
Mailing Address - Country:US
Mailing Address - Phone:509-491-3889
Mailing Address - Fax:509-491-3649
Practice Address - Street 1:4309 W 27TH PL STE 300
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338-2909
Practice Address - Country:US
Practice Address - Phone:509-491-3889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61417847176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife