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Nathaniel Walcott

Student in an Organized Health Care Education/Training Program in Washington, DC. Individual provider (NPI-1).

NPI number1902692015
StatusActive
Last updated in NPPESApr 16, 2025

Details

NPI
1902692015
Entity type
Individual (NPI-1)
Name
Nathaniel Walcott
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 16, 2025
Certification date
Apr 16, 2025
Last updated
Apr 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

2150 Pennsylvania Ave Nw
Washington, DC 20037-3201

Phone 202-741-3000

Mailing address

2150 Pennsylvania Ave Nw
Washington, DC 20037-3201

Phone 202-741-3000

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