Nathan Kane Fosmore, RN Valid NPI
Individual provider · Registered Nurse · Mcchord Afb, WA
- NPI
- 1720205578
- Type
- Individual (Type 1)
- Primary specialty
- Registered Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163W00000X
- License number
- RN00159938 (WA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-04-20
- Last updated
- 2007-07-08
Practice location
Us Dept Of The Us Airforce, 690 Barnes Blvd
Mcchord Afb, WA 98438
(509) 982-0328