Provider Demographics
NPI:1881646826
Name:STRICKLAND, NICOLE ANN (MD)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:ANN
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:ANN
Other - Last Name:BOWLDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3633 PACIFIC AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98418-7900
Mailing Address - Country:US
Mailing Address - Phone:253-274-1668
Mailing Address - Fax:253-274-1685
Practice Address - Street 1:3633 PACIFIC AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98418-7900
Practice Address - Country:US
Practice Address - Phone:253-274-1668
Practice Address - Fax:253-274-1685
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA46229207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8500233Medicaid
8860518Medicare PIN