Provider Demographics
NPI:1538263769
Name:FURNESS, NICHOLE KINGHAM (AUD)
Entity type:Individual
Prefix:DR
First Name:NICHOLE
Middle Name:KINGHAM
Last Name:FURNESS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:NICHOLE
Other - Last Name:KINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:49 FRONT ST N
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-3237
Mailing Address - Country:US
Mailing Address - Phone:425-391-3373
Mailing Address - Fax:425-391-5692
Practice Address - Street 1:49 FRONT ST N
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-3237
Practice Address - Country:US
Practice Address - Phone:425-391-3343
Practice Address - Fax:425-391-5692
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00002292237600000X
WALD00002292231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter