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Nichollas James Brush, PA-C
Surgical Physician Assistant in Tacoma, Washington
NPI 1487239620

Nichollas James Brush is a Surgical Physician Assistant based in Lakewood, WA and is specialized in Surgical. Nichollas James Brush practices in Tacoma, WA and has the professional credentials of PA-C. The NPI Number for Nichollas James Brush is 1487239620 and holds a License No. 61148690 (Washington).

The current practice location address for Nichollas James Brush is 1724 W Union Ave Ste 100, Tacoma, WA and can be reached out via phone at 253-830-5200 and via fax at 253-752-1160. You can also correspond with Nichollas James Brush through the mailing address at 7308 BRIDGEPORT WAY W STE 201, LAKEWOOD, WA - 98499-8000 (mailing address contact number: 253-582-7257).

Location: 1724 W Union Ave Ste 100, Tacoma, WA, 98499-8000
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Provider Profile Details
NPI Number
1487239620
Provider Name
Nichollas James Brush
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1724 W Union Ave Ste 100, Tacoma, WA, 98499-8000
Phone Number
253-830-5200
Fax Number
253-752-1160
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2176684 05 WA
institution
Provider Business Practice Location Address Details
Address
1724 W Union Ave Ste 100
City
State
Zip
98405-2099
Phone Number
253-830-5200
Fax Number
253-752-1160
person
Provider Business Mailing Address Details
Address
1724 W Union Ave Ste 100
City
State
Zip
98405-2099
Phone Number
253-830-5200
Fax Number
253-752-1160
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
61148690 (Washington)
Definition
Definition to come...
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