Healthcare Provider Details

I. General information

NPI: 1316854045
Provider Name (Legal Business Name): NATALIE SUZANNE PURKEY LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1152 SOLANO AVE # A
ALBANY CA
94706-1638
US

IV. Provider business mailing address

1174 63RD ST
EMERYVILLE CA
94608-2237
US

V. Phone/Fax

Practice location:
  • Phone: 510-545-2896
  • Fax:
Mailing address:
  • Phone: 951-452-3013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20131
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: