Healthcare Provider Details

I. General information

NPI: 1851074744
Provider Name (Legal Business Name): NATALIE ATENTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 WRIGHTSVILLE AVE
WILMINGTON NC
28403-6225
US

IV. Provider business mailing address

3901 WRIGHTSVILLE AVE
WILMINGTON NC
28403-6225
US

V. Phone/Fax

Practice location:
  • Phone: 910-679-8385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number18538
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: