Provider Demographics
NPI:1326854894
Name:HILGERS, NICOLE MARIE (MA)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:MARIE
Last Name:HILGERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1474 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4909
Mailing Address - Country:US
Mailing Address - Phone:615-587-8670
Mailing Address - Fax:
Practice Address - Street 1:119 N COMMERCIAL ST STE 1355
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4452
Practice Address - Country:US
Practice Address - Phone:615-587-8670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPENDING101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health