Nicholas S. Dichiara, PA-C
Physician Assistant, Surgical in Edmonds, WA. Individual provider (NPI-1).
NPI number1649883166
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1649883166
- Entity type
- Individual (NPI-1)
- Name
- Nicholas S. Dichiara
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2020
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA61224842 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
7320 216th St Sw Ste 320Edmonds, WA 98026-8006
Phone 425-673-3900 · Fax 425-673-3910
Mailing address
7320 216th St Sw Ste 320Edmonds, WA 98026-8006
Phone 425-673-3900 · Fax 425-673-3910
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