Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOL RENEE AWADALLA BACON, MD
ActiveNICOL RENEE AWADALLA BACON, MD is a Developmental-Behavioral Pediatrics healthcare provider located in WASHINGTON, Washington D.C.. NPI 1104062454 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · WASHINGTON, DC
Registration Details
- NPI Number
- 1104062454
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2008 (17.669484465714 yrs)
- Last Updated
- Oct 18, 2018
- License
-
MD046588 (DC)
Practice Information
- Address
-
111 MICHIGAN AVE NWWASHINGTON, DC, 200102916Browse DC providers · Browse ZIP 20010
- Phone
- 2024765000
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
Other Developmental-Behavioral Pediatrics Providers in WASHINGTON, DC
| Name | Credential | NPI |
|---|---|---|
| SUSAN J PRATT | MD | 1225119076 |
| MARK L BATSHAW | MD | 1639250442 |
| CATHY JO SCHEINER | M.D. | 1487798179 |
| DR. BRITANY WEISSMAN | M.D. | 1376078188 |
| JORDYN CARROLL | — | 1013477074 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.