Healthcare Provider Details

I. General information

NPI: 1932883709
Provider Name (Legal Business Name): NATALIE ANN RESH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE ANN TOBUREN

II. Dates (important events)

Enumeration Date: 06/13/2023
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 S MAIN ST
HAMPSTEAD MD
21074-2273
US

IV. Provider business mailing address

907 S MAIN ST
HAMPSTEAD MD
21074-2273
US

V. Phone/Fax

Practice location:
  • Phone: 667-930-5999
  • Fax:
Mailing address:
  • Phone: 667-930-5999
  • Fax: 949-543-2686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP028330
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN721325
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: