NPI 1003559766

Nathan William Wakefield

Practitioner Student in an Organized Health Care Education/Training Program Roanoke, VA

Practice location

Address: 1906 Belleview Ave SE, Roanoke, VA 24014-1838
Phone: (540) 981-7000
Mailing address: 298 Wyndermere Dr, Troutville, VA 24175-6597

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003559766
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2022
Record last updated: 19 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.