NPI 1164080396

Nathan Michael Andrew Black

Practitioner Religious Nonmedical Practitioner Seattle, WA

Practice location

Address: 1660 S Columbian Way, Seattle, WA 98108-1532
Phone: (206) 764-2023

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

Other Religious Nonmedical Practitioner providers in Washington →

Registry record

NPI: 1164080396
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jun 2019
Record last updated: 3 Jun 2019

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.