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Individual
MR. NATHAN BRADY GAMMILL
Active
Individual
MR. NATHAN BRADY GAMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
606583-1
NY
363LF0000X
Family Nurse Practitioner
Primary
336689
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W01882
MEDICARE NUMBER
NY
Enumeration date
01/25/2010
Last updated
09/09/2016
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