Healthcare Provider Details

I. General information

NPI: 1154237220
Provider Name (Legal Business Name): NATALIE SEEBOHAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 RENBARGER ST
CASTLE ROCK CO
80104-7004
US

IV. Provider business mailing address

5505 RENBARGER ST
CASTLE ROCK CO
80104-7004
US

V. Phone/Fax

Practice location:
  • Phone: 303-921-9082
  • Fax:
Mailing address:
  • Phone: 303-921-9082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: