Individual
NATHAN JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 W IRONWOOD DR STE 262, COEUR D ALENE, ID 83814-4400
(509) 581-6300
Mailing address
700 W IRONWOOD DR STE 262, COEUR D ALENE, ID 83814-4400
(509) 581-6300
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8371566
ID
237600000X
Audiologist-Hearing Aid Fitter
8371566
ID
Other
Enumeration date
06/05/2025
Last updated
10/09/2025
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