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Individual
DR. NATHAN WAYNE SCADLOCK
Active
Individual
DR. NATHAN WAYNE SCADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
201900807NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500760659
—
OR
Enumeration date
07/23/2013
Last updated
06/11/2019
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