Individual
NATHAN E WROTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5986
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102205550
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2017
Last updated
08/10/2020
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