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Individual

NATHAN PHILIP RAINWATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
115 BROADWAY STE 1800, NEW YORK, NY 10006
(212) 858-9199
(212) 858-9148
Mailing address
115 BROADWAY STE 1800, NEW YORK, NY 10006-1652
(212) 858-9199
(212) 858-9148

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
173978
TN
163WG0000X
General Practice Registered Nurse
736219
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402312
NY

Other

Enumeration date
08/15/2017
Last updated
05/09/2019
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