Individual
NICHOLAS E AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60947788
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA60947788
DEPARTMENT OF HEALTH
WA
Enumeration date
08/21/2019
Last updated
08/21/2019
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