Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE FENNELL
ActiveNICOLE FENNELL is a Physician Assistant healthcare provider located in COOS BAY, Oregon. NPI 1639626724 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · COOS BAY, OR
Registration Details
- NPI Number
- 1639626724
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2016 (9.9149394269793 yrs)
- Last Updated
- Sep 6, 2016
- License
-
PA179333 (OR)
Practice Information
- Address
-
1775 THOMPSON RDCOOS BAY, OR, 974202125Browse OR providers · Browse ZIP 97420
- Phone
- 5412698111
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in COOS BAY, OR
| Name | Credential | NPI |
|---|---|---|
| CLIFFORD S LANCE | PA | 1407800097 |
| JOSE A MARROQUIN | PA | 1598712986 |
| JAMES EDWARD SCHRAMM | PA-C | 1821216284 |
| MRS. ALICE RACHEL STAPPLER | PA | 1831410455 |
| MR. BRENT DANIEL HATCH | PA-C | 1730618513 |
| MAGDALENE CLARE SHAUGHNESSY | PA-C | 1477052470 |
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.