Healthcare Provider Details

I. General information

NPI: 1598684797
Provider Name (Legal Business Name): NATALIE LA ROSA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1426 BROAD RIPPLE AVE STE 200
INDIANAPOLIS IN
46220-2002
US

IV. Provider business mailing address

6910 SCHOOL BRANCH DR
BROWNSBURG IN
46112-5662
US

V. Phone/Fax

Practice location:
  • Phone: 317-621-3680
  • Fax:
Mailing address:
  • Phone: 765-398-0258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: