Healthcare Provider Details

I. General information

NPI: 1912189093
Provider Name (Legal Business Name): NATALIE ELIZABETH WEATHERBY CNM, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E RIO VISTA
BURLINGTON WA
98233
US

IV. Provider business mailing address

301 E RIO VISTA
BURLINGTON WA
98233
US

V. Phone/Fax

Practice location:
  • Phone: 360-755-5148
  • Fax: 877-370-6159
Mailing address:
  • Phone: 360-708-5628
  • Fax: 360-428-6485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP30007933
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAP30007933
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: