Healthcare Provider Details

I. General information

NPI: 1346048964
Provider Name (Legal Business Name): NATALIE WREN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE OWENS

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 W 11TH ST
CHICO CA
95928-6006
US

IV. Provider business mailing address

2635 AIRPORT RD
NUNNELLY TN
37137-2818
US

V. Phone/Fax

Practice location:
  • Phone: 530-895-2650
  • Fax:
Mailing address:
  • Phone: 530-570-5396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number95134468
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: