Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Denise Rota, PA-C

Individual provider Medical Physician Assistant · NPI 1265685762

Nicole Denise Rota, PA-C is a Medical Physician Assistant in Pullman, Washington. Works from 2 locations. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1125 SE Washington St
Pullman, WA 99164-0001
Phone: (509) 335-3575
Fax: (509) 335-8214
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7272 W Potomac Dr, Boise, ID 83704-9149 — (208) 884-2922

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61529253 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-780 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA-780 (ID)

Record details

NPI number1265685762
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2008
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

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