George Nathan Wise in Bremerton - Physician Assistant
George Nathan Wise - NPI 1366433542
George Nathan Wise is a Physician Assistant in Bremerton, Washington. George Nathan Wise practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for George Nathan Wise is 1366433542. The last update date is 2019-11-21.
George Nathan Wise's current location address is 2305 10th St, Bremerton, Washington. You can contact this provider via phone number 3604400655. The mailing address for George Nathan Wise is 2305 10th St, Bremerton, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | George Nathan Wise |
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Address | 2305 10th St, Bremerton, Washington |
Phone Number | 3604400655 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1366433542 |
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Provider Enumeration Date | 2005-11-04 |
Last Updated Date | 2019-11-21 |
Provider Mailing Address Detail
Address | 2305 10th St |
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City | Bremerton |
State | Washington (WA) |
Post Code | 983123850 |
Phone Number | 3604400655 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA10004592 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique provider identifier assigned to George Nathan Wise?
The George Nathan Wise has been issued the NPI (National Provider Identifier) 1366433542 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the George Nathan Wise located?
The George Nathan Wise is located at 2305 10Th St, Bremerton, WA 983123850.
What is George Nathan Wise's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for George Nathan Wise is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the George Nathan Wise receive the assignment of its 1366433542 from the Centers for Medicare & Medicaid Services?
The George Nathan Wise was issued its 1366433542 by the Centers for Medicare & Medicaid Services on 2005-11-04.
As of what date was the information regarding George Nathan Wise, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to George Nathan Wise, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-11-21.