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NPI Code Detail

MEDICARE: MRS. NATALIE KAY ENRIGHT PA-C

MEDICARE: MRS. NATALIE KAY ENRIGHT PA-C
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
1363AM0700XMedical Physician Assistant
2390200000XStudent in an Organized Health Care Education/Training Program
3363A00000XPhysician Assistant5424-023WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861012692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NATALIE KAY ENRIGHT PA-C
Provider Business Mailing Address
First Line : 248 MCHENRY ST
Second Line :
City : BURLINGTON
State : WI
Zip : 53105-1828
Country : US
Telephone Number : 262-767-8000
Fax Number : 262-767-8190
Provider Business Practice Location Address
First Line : 3400 DEERFIELD DR
Second Line :
City : JANESVILLE
State : WI
Zip : 53546-3557
Country : US
Telephone Number : 608-314-3605
Fax Number : 608-314-3605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2020
Last Update Date : 12/07/2022

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