Healthcare Provider Details

I. General information

NPI: 1114384237
Provider Name (Legal Business Name): NATALIE RANEY AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 03/03/2021
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N COMMERCE AVE
FRONT ROYAL VA
22630-2660
US

IV. Provider business mailing address

120 N COMMERCE AVE
FRONT ROYAL VA
22630-2660
US

V. Phone/Fax

Practice location:
  • Phone: 540-635-0795
  • Fax: 540-635-0853
Mailing address:
  • Phone: 540-635-0795
  • Fax: 540-635-0853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2101002171
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: