Individual
NATHANIEL J. LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-5867
(206) 744-8245
Mailing address
325 9TH AVE, BOX 359904, SEATTLE, WA 98104-2420
(206) 744-5867
(206) 744-8245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30006078
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30006078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155779
L&I PIN
WA
01
—
23877U
REGENCE BLUE SHIELD PIN
WA
05
—
9633124
—
WA
Enumeration date
06/21/2006
Last updated
05/21/2008
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