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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHAN JOHN ETHRIDGE, PA-C

Active

NATHAN JOHN ETHRIDGE, PA-C is a Physician Assistant healthcare provider located in FORT MOHAVE, Arizona. NPI 1316354400 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT MOHAVE, AZ

Registration Details

NPI Number
1316354400
Provider Type
Individual
Gender
Male
NPI Issued
Jul 21, 2014 (12.035589780591 yrs)
Last Updated
Oct 26, 2021
License
5750 (AZ)

Practice Information

Address
5330 S HIGHWAY 95
FORT MOHAVE, AZ, 864269225
Browse AZ providers · Browse ZIP 86426
Phone
9287882273
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT MOHAVE, AZ

Name Credential NPI
MRS. LISA JANE CARPENTER P.A.C. 1639126063
PATRICK L BALLOU PA-C 1124309844
KAYLA BARNETT PA-C 1548080963
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.