MEDICARE: NATALIE NOELLE ANDERSON

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	363L00000X	Nurse Practitioner	SP034622	PA

General Provider Information

NPI Number	:	1922978691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE NOELLE ANDERSON

Provider Business Mailing Address
First Line	:	300 CANDLE LIGHT DR
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-1405
Country	:	US
Telephone Number	:	717-316-3512
Fax Number	:	717-221-5673

Provider Business Practice Location Address
First Line	:	4310 LONDONDERRY RD STE 202
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5329
Country	:	US
Telephone Number	:	717-316-3512
Fax Number	:	717-221-5673

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

Provider Enumeration Date	:	11/07/2025
Last Update Date	:	12/08/2025

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