Healthcare Provider Details

I. General information

NPI: 1871145045
Provider Name (Legal Business Name): NATALIE ANN CIVINELLI HURST RN, MSN, CCRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2019
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7650 DANNAHER DR STE 100
POWELL TN
37849-4066
US

IV. Provider business mailing address

6016 BROOKVALE LN STE 200
KNOXVILLE TN
37919-4092
US

V. Phone/Fax

Practice location:
  • Phone: 865-637-9330
  • Fax: 865-512-6748
Mailing address:
  • Phone: 865-862-0998
  • Fax: 865-544-1861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26074
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: