Healthcare Provider Details

I. General information

NPI: 1861708349
Provider Name (Legal Business Name): NATALEE A CHROMY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2010
Last Update Date: 12/09/2019
Certification Date: 12/09/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1527 E LAKE ST
MINNEAPOLIS MN
55407-6700
US

IV. Provider business mailing address

7901 XERXES AVE S STE 116
BLOOMINGTON MN
55431-1200
US

V. Phone/Fax

Practice location:
  • Phone: 612-721-6511
  • Fax: 952-885-1701
Mailing address:
  • Phone: 952-888-2024
  • Fax: 952-885-1701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number10782
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: