Healthcare Provider Details

I. General information

NPI: 1497310866
Provider Name (Legal Business Name): NATALIE FUSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2019
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 S. MAIN ST.
ABERDEEN ID
83210
US

IV. Provider business mailing address

PO BOX 367
ABERDEEN ID
83210-0367
US

V. Phone/Fax

Practice location:
  • Phone: 208-397-4156
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: