Healthcare Provider Details

I. General information

NPI: 1124716113
Provider Name (Legal Business Name): NATALIE THORNHILL CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 W MILLER ST
ORLANDO FL
32806-2031
US

IV. Provider business mailing address

83 W MILLER ST
ORLANDO FL
32806-2031
US

V. Phone/Fax

Practice location:
  • Phone: 321-842-9863
  • Fax: 407-648-9879
Mailing address:
  • Phone: 218-429-8633
  • Fax: 407-648-9879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11024439
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: