Individual
NATHAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 NW MYHRE RD, SUITE 102, SILVERDALE, WA 98383-7672
(360) 613-1834
(360) 613-2716
Mailing address
103 NW MCWILLIAMS RD, BREMERTON, WA 98311
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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