MEDICARE: NATALIE BAMERICK RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	652681	NY

General Provider Information

NPI Number	:	1588527808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE BAMERICK RN

Provider Business Mailing Address
First Line	:	5396 SPRINGVIEW DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NY
Zip	:	13066-9678
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5396 SPRINGVIEW DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NY
Zip	:	13066-9678
Country	:	US
Telephone Number	:	315-403-2499
Fax Number	:	315-403-2499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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