Individual
DR. NILS L. NANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60454441
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0335491
L&I-DIAGNOSTIC IMAGING NW
WA
01
—
0370068
L&I-TRA MINW REST OF WA
WA
01
—
0370069
L&I-TRA MINW KING COUNTY
WA
01
—
0370070
L&I-UAOM
WA
01
—
0370071
L&I-CAROL MILGARD BREAST CTR
WA
05
—
2039213
—
WA
Enumeration date
08/07/2009
Last updated
08/11/2025
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