Healthcare Provider Details

I. General information

NPI: 1437551918
Provider Name (Legal Business Name): NATALIE RAE HOLDEN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2014
Last Update Date: 08/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15655 STATE ROUTE 170 SUITE H
CALCUTTA OH
43920
US

IV. Provider business mailing address

47032 BELL SCHOOL RD
EAST LIVERPOOL OH
43920-9728
US

V. Phone/Fax

Practice location:
  • Phone: 330-386-3610
  • Fax:
Mailing address:
  • Phone: 330-402-1810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.16628
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: