Healthcare Provider Details

I. General information

NPI: 1003648312
Provider Name (Legal Business Name): NATALIE BALES MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 RAYFORD RD STE 500
SPRING TX
77386-5092
US

IV. Provider business mailing address

1104 RAYFORD RD STE 500
SPRING TX
77386-5092
US

V. Phone/Fax

Practice location:
  • Phone: 281-825-3265
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1020822
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11033474
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: