Healthcare Provider Details

I. General information

NPI: 1598683088
Provider Name (Legal Business Name): NATALIE BROOKE GRUBBS APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4864 JACKSON ST
MONROE LA
71202-6400
US

IV. Provider business mailing address

466 JIM REEVES RD
COLUMBIA LA
71418-9510
US

V. Phone/Fax

Practice location:
  • Phone: 318-805-4422
  • Fax: 318-330-7000
Mailing address:
  • Phone: 318-805-4422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM11046
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: