Healthcare Provider Details

I. General information

NPI: 1407547318
Provider Name (Legal Business Name): NATASSIA MARIE FRANCIS FNP, MSN, RN, PHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 S LAS POSAS RD STE 255
SAN MARCOS CA
92078-2470
US

IV. Provider business mailing address

7435 CAPSTAN DR
CARLSBAD CA
92011-4683
US

V. Phone/Fax

Practice location:
  • Phone: 760-282-2447
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95022567
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number798325
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number82421
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: