Nicole Fennell
Nicole Fennell is a Physician Assistant in Coos Bay, Oregon. Licensed in Oregon. Registered with an NPI since 2016.
- Licensed in
- OR
- In the registry since
- 2016
Practice location Address checks out
1775 Thompson RdCoos Bay, OR 97420-2125
Phone: (541) 269-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA179333 (OR) |
|---|
Record details
| NPI number | 1639626724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 6, 2016 |
| Last updated in NPPES | September 6, 2016 |
| Mailing address | 1775 Thompson Rd, Coos Bay, OR 97420-2125 |
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Akhila Parepalli
1775 Thompson Rd, Coos Bay, OR 97420-2125 · (541) 269-8111