Individual
MR. NATHANIEL THOMAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, NNP-BC
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
(206) 987-2000
Mailing address
2233 NW 58TH ST UNIT 211, SEATTLE, WA 98107-6102
(845) 417-6852
(845) 417-6852
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN60769449
WA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP60811289
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60811289
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/20/2017
Last updated
11/20/2017
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