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Contact Information

NICOLE BRUEY PERNELL, APRN
4815 N ASSEMBLY ST
SPOKANE, WA99205-6185
 Phone: 509-434-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NICOLE BRUEY PERNELL · (Female)

NPI # 1386253714
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/31/2020
Last updated 07/22/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • ID License # 67422
  • WA License # AP61151485
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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