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NPI Code Detail

MEDICARE: NATALIE CROAL

MEDICARE: NATALIE CROAL
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1922991611
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE CROAL
Provider Business Mailing Address
First Line : 8006 PISA DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70820-6540
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8006 PISA DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70820-6540
Country : US
Telephone Number : 704-207-4703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2025
Last Update Date : 05/31/2025

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Directions to “ NATALIE CROAL ” Practice Location

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