Healthcare Provider Details

I. General information

NPI: 1457255424
Provider Name (Legal Business Name): NATALIE ELIZA CHEPUL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 E 1ST AVE
EASLEY SC
29640-3039
US

IV. Provider business mailing address

33 STATION CT APT 405
GREENVILLE SC
29601-2992
US

V. Phone/Fax

Practice location:
  • Phone: 864-898-5800
  • Fax:
Mailing address:
  • Phone: 704-258-9219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: