Nicholas Fawcett
Nurse Anesthetist, Certified Registered in Tacoma, WA. Individual provider (NPI-1).
NPI number1295023331
StatusActive
Last updated in NPPESDec 3, 2020
Details
- NPI
- 1295023331
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Fawcett
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2011
- Certification date
- Dec 3, 2020
- Last updated
- Dec 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP60911360 | WA | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA-01527 | NM | |
| 101Y00000X | Counselor | – | – |
Practice location
1717 S J StTacoma, WA 98405-4933
Phone 844-364-2778 · Fax 253-426-6344
Mailing address
1717 S J StTacoma, WA 98405-4933
Phone 844-364-2778 · Fax 253-426-6344
Other practice locations
525 W. 200 N.
Mona, UT 84648
Mona, UT 84648
Phone 435-623-2825 · Fax 435-623-2827
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Santa Fe, NM 87505-7601
Phone 505-913-3361
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