Healthcare Provider Details

I. General information

NPI: 1144621970
Provider Name (Legal Business Name): NATALIE MILLER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE CROUSE NP

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 02/18/2023
Certification Date: 02/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 EASY ST STE 101
UNIONTOWN PA
15401-3128
US

IV. Provider business mailing address

PO BOX 3510
PITTSBURGH PA
15230-3510
US

V. Phone/Fax

Practice location:
  • Phone: 724-437-1582
  • Fax: 724-943-3310
Mailing address:
  • Phone: 412-288-2130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP014008
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: