Nathan R Walsh, PA-C
Physician Assistant in San Francisco, CA. Individual provider (NPI-1).
NPI number1164073276
StatusActive
Last updated in NPPESDec 6, 2024
Details
- NPI
- 1164073276
- Entity type
- Individual (NPI-1)
- Name
- Nathan R Walsh
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2019
- Certification date
- Dec 6, 2024
- Last updated
- Dec 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA60976825 | WA | Yes |
| 363AS0400X | Physician Assistant, Surgical | PA60976825 | WA |
Other names
- Nathaniel Walsh (Other Name)
Practice location
2380 Sutter StSan Francisco, CA 94115-3006
Phone 415-353-2757
Mailing address
2380 Sutter StSan Francisco, CA 94115-3006
Phone 415-353-2757
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