Nordstrom, Brian N

Nordstrom, Brian N is an individual health care provider with primary practice located at 801 E Wheeler Rd , Moses Lake WA 98837-1820. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Nordstrom, Brian N can be contacted via phone (509) 765-5606.

Contact Information

Primary practice address
801 E Wheeler Rd Moses Lake WA 98837-1820
Phone: (509) 765-5606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 7725758 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30007782 Washington

Profile Details

NPI number 1518992858
LBN Legal business name Nordstrom, Brian N
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518992858 NPPES
New Mexico MEDICAID 202005544
New Mexico Other 202005544
New Mexico MEDICAID 59223766
New Mexico Other 86228U
New Mexico MEDICAID 180399101
New Mexico Other 86243U
New Mexico MEDICAID 134895101
New Mexico Other 134895100
New Mexico MEDICAID 1044563
New Mexico MEDICAID 200077930A

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