Healthcare Provider Details

I. General information

NPI: 1356890347
Provider Name (Legal Business Name): NATALIE M POHL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2016
Last Update Date: 09/29/2022
Certification Date: 09/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW ST. 1-400
WASHINGTON DC
20060-0001
US

IV. Provider business mailing address

2973 BRAXTON WOOD CT
FAIRFAX VA
22031-1340
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-6100
  • Fax:
Mailing address:
  • Phone: 540-842-0137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA031306
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110-005523
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number61201
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: