| Doctor Name: | DR. NANCY L NILES |
| NPI Number: | 1144258435 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD00017593 |
| Business Practice Address: | 2611 Ne 125th St Suite 90 Seattle, WA - 981254373 |
| Business Phone Number: | 2063620035 |
| Business Fax Number: | 2063626927 |
| Mailing Address: | 2611 Ne 125th St #90, SEATTLE |
| State: | WA |
| Postal Code: | 981254357 |
| Phone Number: | 2063620035 |
| Fax Number: | 2063626927 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 04/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD00017593 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |