Healthcare Provider Details

I. General information

NPI: 1326353251
Provider Name (Legal Business Name): NATALIE RUE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 03/02/2020
Certification Date: 03/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 N INDIAN CANYON DR STE 200
PALM SPRINGS CA
92262-4857
US

IV. Provider business mailing address

1180 N INDIAN CANYON DR STE 2000
PALM SPRINGS CA
92262-4800
US

V. Phone/Fax

Practice location:
  • Phone: 760-416-4511
  • Fax: 760-416-4578
Mailing address:
  • Phone: 760-416-4511
  • Fax: 760-416-4578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN410422
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPF7737
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: