Individual provider · Type 1 NPI

Nathan Wheatley

Medical Physician Assistant · Coeur D Alene, ID

NPI number 1407307259 Active

Practice location

1090 W Park Pl
Coeur D Alene, ID 83814-2785

Call (208) 292-0292 Map

Fax (208) 292-0705

Mailing address

PO Box 3648
Coeur D Alene, ID 83816-2522

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-1417 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1407307259

Nathan Wheatley's National Provider Identifier is 1407307259, issued on Oct 17, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Oct 17, 2016.