Provider Demographics
NPI:1285627281
Name:TRITLE, NATHAN MERLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:MERLIN
Last Name:TRITLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 POINT FOSDICK DR STE 320
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1706
Mailing Address - Country:US
Mailing Address - Phone:253-426-6731
Mailing Address - Fax:253-426-1064
Practice Address - Street 1:4700 POINT FOSDICK DR STE 320
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1706
Practice Address - Country:US
Practice Address - Phone:253-426-6731
Practice Address - Fax:253-426-1064
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61222747207Y00000X
AZ29088207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1285627281OtherHEALTH NET
WA2204814Medicaid
AZ1285627281OtherAETNA
AZ1285627281OtherCIGNA
AZ1285627281OtherBCBS
AZ1285627281OtherUHC
AZ1285627281OtherAFMC
AZ567224Medicaid
AZ1285627281OtherHMN