Healthcare Provider Details

I. General information

NPI: 1295285104
Provider Name (Legal Business Name): NATALIE STCLAIR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2016
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 W GREEN MEADOWS DR STE 2
GREENFIELD IN
46140-4000
US

IV. Provider business mailing address

281 BIELBY RD
LAWRENCEBURG IN
47025-1055
US

V. Phone/Fax

Practice location:
  • Phone: 317-318-0367
  • Fax:
Mailing address:
  • Phone: 812-532-3496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number28232745
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number019997
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: