Nathan Aaron De Witt, PA-C
Physician Assistant in Puyallup, WA. Individual provider (NPI-1).
NPI number1790786705
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1790786705
- Entity type
- Individual (NPI-1)
- Name
- Nathan Aaron De Witt
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2005
- Certification date
- Apr 17, 2025
- Last updated
- Apr 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA60455073 | WA | Yes |
Practice location
1007 39th Ave SePuyallup, WA 98374-2192
Phone 253-435-3100 · Fax 253-435-3138
Mailing address
1007 39th Ave SePuyallup, WA 98374-2192
Phone 253-435-3100 · Fax 253-435-3138
Other practice locations
3705 S Meridian Ste B
Puyallup, WA 98373-3709
Puyallup, WA 98373-3709
Phone 253-765-5050 · Fax 415-252-7176
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All 89 Physician Assistant providers in Puyallup · All 4,232 providers in Puyallup
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