Search › Washington › 363A00000X
Nicole Rota, PA-C
NPI 1265685762 · on the registry since 2008
Practice
- Address
- 1125 Se Washington St
Pullman, WA 99164 - Phone
- (509) 335-3575
- Fax
- (509) 335-8214
- Organisation at this address
- Washington State University
Washington State UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 7272 W Potomac Dr, Boise, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
363A00000X - Licence states on file
- ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington