Individual
DR. NATHANIEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2930 S MERIDIAN STE 200, PUYALLUP, WA 98373-1654
(253) 445-7600
(253) 864-5999
Mailing address
2930 S MERIDIAN STE 200, PUYALLUP, WA 98373-1654
(253) 445-7600
(253) 864-5999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61031003
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156623
—
WA
Enumeration date
05/05/2017
Last updated
11/10/2020
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