Healthcare Provider Details

I. General information

NPI: 1437013091
Provider Name (Legal Business Name): NATALIE RETHWISCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 9TH ST N STE 220
NAPLES FL
34102-6233
US

IV. Provider business mailing address

15054 WILDFLOWER CIR
NAPLES FL
34119-4857
US

V. Phone/Fax

Practice location:
  • Phone: 239-312-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11043274
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: