MEDICARE: NICOLLETTE MORA PEPIN

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1871436352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLLETTE MORA PEPIN

Provider Business Mailing Address
First Line	:	1865 MAGDALENE WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-3508
Country	:	US
Telephone Number	:	203-213-0760
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 SENECA ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-2742
Country	:	US
Telephone Number	:	206-223-6600
Fax Number	:

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

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

Similar Medicare Providers

1588506372 — CRYSTAL TAM
Practice Location Address:

925 SENECA ST
SEATTLE, WA
98101-2742

Practice Phone: 206-223-6600
Practice Fax:

1851121271 — ANGELICA PAIGE KURTZ
Practice Location Address:

925 SENECA ST
SEATTLE, WA
98101-2742

Practice Phone: 206-341-0706
Practice Fax:

1083557664 — JOSLYN JOHNSON DO
Practice Location Address:

925 SENECA ST , H8-GME
SEATTLE, WA
98101-2742

Practice Phone: 206-624-1144
Practice Fax:

1891638284 — EMILIE DECAVEL-BUEFF MD
Practice Location Address:

925 SENECA ST , H8-GME
SEATTLE, WA
98101-2742

Practice Phone: 206-624-1144
Practice Fax:

1417953530 — DR. CRAIG A PEDERSEN RPH, PHD
Practice Location Address:

925 SENECA ST
SEATTLE, WA
98101-2742

Practice Phone: 62-588-9345
Practice Fax:

1578563037 — DR. ANDREW K LIM M.D.
Practice Location Address:

925 SENECA ST , G2-GHC GROUP HEALTH AT VIRGINIA MASON
SEATTLE, WA
98101-2742

Practice Phone: 206-341-0736
Practice Fax:

Directions to “ NICOLLETTE MORA PEPIN ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.