Healthcare Provider Details

I. General information

NPI: 1558143313
Provider Name (Legal Business Name): NATALIE ASHTON TYLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE ASHTON COATS APRN

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

878 ARTHUR ST
IMMOKALEE FL
34142-2784
US

IV. Provider business mailing address

878 ARTHUR ST
IMMOKALEE FL
34142-2784
US

V. Phone/Fax

Practice location:
  • Phone: 239-920-3588
  • Fax: 844-670-5427
Mailing address:
  • Phone: 239-920-3588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11029030
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11029030
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: