Healthcare Provider Details

I. General information

NPI: 1861396525
Provider Name (Legal Business Name): NATALIE COOLIDGE BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 VILLAGE CREEK DR
PLANO TX
75093-5064
US

IV. Provider business mailing address

2309 MONTICELLO CIR
PLANO TX
75075-6647
US

V. Phone/Fax

Practice location:
  • Phone: 972-596-7801
  • Fax:
Mailing address:
  • Phone: 310-310-4977
  • 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: