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NPI Code Detail

MEDICARE: NICOLE BAKHOUM

MEDICARE: NICOLE BAKHOUM
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
1207P00000XEmergency Medicine PhysicianMD.MD.61552809WA

General Provider Information

NPI Number : 1174151427
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE BAKHOUM
Provider Business Mailing Address
First Line : 3000 VANDERBILT PL APT 345
Second Line :
City : NASHVILLE
State : TN
Zip : 37212-2539
Country : US
Telephone Number : 718-689-2711
Fax Number :
Provider Business Practice Location Address
First Line : 325 9TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2420
Country : US
Telephone Number : 206-744-2556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2020
Last Update Date : 12/16/2025

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Directions to “ NICOLE BAKHOUM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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