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

Nicole Fortino

Individual provider Registered Nurse · NPI 1063893683

Nicole Fortino is a Registered Nurse in Puyallup, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015

Practice location Address checks out

12812 101st Ave Ct E
Puyallup, WA 98373-9510
Phone: (253) 387-7011
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN00174584 (WA)

Record details

NPI number1063893683
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 10, 2015
Last updated in NPPESJune 10, 2015

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