Healthcare Provider Details

I. General information

NPI: 1679308530
Provider Name (Legal Business Name): NATALIE CAUDLE APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2024
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 S STILL RD
SEQUIM WA
98382-3577
US

IV. Provider business mailing address

502 S STILL RD
SEQUIM WA
98382-3577
US

V. Phone/Fax

Practice location:
  • Phone: 360-683-2344
  • Fax: 360-504-3666
Mailing address:
  • Phone: 360-683-2344
  • Fax: 360-504-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61609149
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: