Provider Demographics
NPI:1720214513
Name:SCHICK, NICOLE AMBER BERRY (MD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:AMBER BERRY
Last Name:SCHICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4225 335TH PL SE UNIT 481
Mailing Address - Street 2:
Mailing Address - City:FALL CITY
Mailing Address - State:WA
Mailing Address - Zip Code:98024-4020
Mailing Address - Country:US
Mailing Address - Phone:425-270-7001
Mailing Address - Fax:954-405-8854
Practice Address - Street 1:4225 335TH PL SE UNIT 481
Practice Address - Street 2:
Practice Address - City:FALL CITY
Practice Address - State:WA
Practice Address - Zip Code:98024-4020
Practice Address - Country:US
Practice Address - Phone:425-270-7001
Practice Address - Fax:954-405-8854
Is Sole Proprietor?:No
Enumeration Date:2009-06-07
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-8685208000000X
IA40115208000000X
WAMD 60624082208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics