Individual provider · Type 1 NPI

Tianna Nugent

Surgical Physician Assistant · Seattle, WA

NPI number 1295631620 Active

Practice location

11011 Meridian Ave N
Seattle, WA 98133-8967

Call (000) 000-0000 Map

Mailing address

18821 88th Ave W
Edmonds, WA 98026-5908

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA.PA.61678635 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1295631620

Tianna Nugent's National Provider Identifier is 1295631620, issued on Oct 14, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Seattle, WA. The record was last updated on Oct 14, 2026.