Provider Demographics
NPI:1134254501
Name:PARKHILL, NICOLE M (LAC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:M
Last Name:PARKHILL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 PARK LN STE 201
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6172
Mailing Address - Country:US
Mailing Address - Phone:425-208-1857
Mailing Address - Fax:206-219-7012
Practice Address - Street 1:143 PARK LN STE 201
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6172
Practice Address - Country:US
Practice Address - Phone:425-208-1857
Practice Address - Fax:206-219-7012
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002611171100000X
NMDOM 780171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist