Provider Demographics
NPI:1629823869
Name:KIOKO, NICHOLAS K (RN61418396)
Entity type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:K
Last Name:KIOKO
Suffix:
Gender:M
Credentials:RN61418396
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9702 31ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-4309
Mailing Address - Country:US
Mailing Address - Phone:206-966-0395
Mailing Address - Fax:425-645-4659
Practice Address - Street 1:9702 31ST AVE SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-4309
Practice Address - Country:US
Practice Address - Phone:206-966-0395
Practice Address - Fax:425-645-4659
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61418396163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse