Provider Demographics
NPI:1831594639
Name:HARRISON, NATHANIEL J (MSN, MPH, FNP-C)
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:J
Last Name:HARRISON
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Gender:M
Credentials:MSN, MPH, FNP-C
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Mailing Address - Street 1:1200 12TH AVE S
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2712
Mailing Address - Country:US
Mailing Address - Phone:206-548-3114
Mailing Address - Fax:206-762-6355
Practice Address - Street 1:6020 35TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-3002
Practice Address - Country:US
Practice Address - Phone:206-461-6950
Practice Address - Fax:206-461-8542
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2025-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAAP60673439363LF0000X
TXAP126455363LF0000X
CANP95003298363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily