MEDICARE: NICOLA HARRIS

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
1	237700000X	Hearing Instrument Specialist

General Provider Information

NPI Number	:	1184395360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLA HARRIS

Provider Business Mailing Address
First Line	:	1311 S UNION AVE STE 102
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-1959
Country	:	US
Telephone Number	:	800-500-8243
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 100TH PL SE STE A
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98208-3868
Country	:	US
Telephone Number	:	800-500-8243
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2021
Last Update Date	:	09/27/2021

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Directions to “ NICOLA HARRIS ” Practice Location

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