Healthcare Provider Details

I. General information

NPI: 1750165908
Provider Name (Legal Business Name): MRS. NATALIE ANN KRUT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HIDDEN VALLEY RD
MC MURRAY PA
15317-2685
US

IV. Provider business mailing address

110 HIDDEN VALLEY RD
MC MURRAY PA
15317-2685
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-4070
  • Fax: 724-941-5083
Mailing address:
  • Phone: 724-941-4070
  • Fax: 724-941-5083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC019453
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: