Healthcare Provider Details

I. General information

NPI: 1376486167
Provider Name (Legal Business Name): NATALIE DEARMENT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 LANCASTER AVE
GREER SC
29650-1235
US

IV. Provider business mailing address

804 ARMISTEAD ST
WINCHESTER VA
22601-6703
US

V. Phone/Fax

Practice location:
  • Phone: 540-539-6330
  • Fax:
Mailing address:
  • Phone: 540-539-6330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: