Healthcare Provider Details

I. General information

NPI: 1710254180
Provider Name (Legal Business Name): NATALIE ANN FINNIE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2011
Last Update Date: 11/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 KENTUCKY AVE SUITE 301
PADUCAH KY
42003-3817
US

IV. Provider business mailing address

5155 HIGHWAY 13
JUNCTION IL
62954-2101
US

V. Phone/Fax

Practice location:
  • Phone: 270-575-3113
  • Fax: 270-575-3588
Mailing address:
  • Phone: 270-744-9600
  • Fax: 270-744-0834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209009144
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: