Healthcare Provider Details

I. General information

NPI: 1386590024
Provider Name (Legal Business Name): NOMAD THERAPEUTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 S KING ST STE 800
SEATTLE WA
98104-3318
US

IV. Provider business mailing address

255 S KING ST STE 800
SEATTLE WA
98104-3318
US

V. Phone/Fax

Practice location:
  • Phone: 425-610-9171
  • Fax:
Mailing address:
  • Phone: 425-610-9171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JOHN RACK GOMER
Title or Position: CEO
Credential:
Phone: 858-883-3170