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NPI Code Detail

MEDICARE: NICOLE BERNARD WASHINGTON D.O.

MEDICARE: NICOLE BERNARD WASHINGTON D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician4235OK
22084P0800XPsychiatry Physician0102205539VA
32084P0800XPsychiatry Physician83253GA
42084P0800XPsychiatry PhysicianR8288TX

General Provider Information

NPI Number : 1942370267
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE BERNARD WASHINGTON D.O.
Provider Business Mailing Address
First Line : PO BOX 3674
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74013-3674
Country : US
Telephone Number : 918-994-2347
Fax Number : 918-856-6082
Provider Business Practice Location Address
First Line : 7633 E 63RD PL STE 300
Second Line :
City : TULSA
State : OK
Zip : 74133-1202
Country : US
Telephone Number : 918-994-2347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 11/24/2025

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Directions to “ NICOLE BERNARD WASHINGTON D.O.” Practice Location

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