Individual
NISHANT NANNAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 PACIFIC AVE, EVERETT, WA 98201
(425) 339-5476
(425) 259-6069
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5476
(425) 259-6069
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4301103168
MI
208100000X
Physical Medicine & Rehabilitation Physician
D84223
MD
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD60982673
WA
Other
Enumeration date
06/20/2013
Last updated
11/07/2019
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