=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275462350
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATALIE HELLERICH RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/15/2026
-----------------------------------------------------
Last Update Date | 05/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 185 S MAIN ST
-----------------------------------------------------
City | WATERBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06706-1012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-307-8096
-----------------------------------------------------
Fax | 203-574-6880
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 240 LITCHFIELD ST
-----------------------------------------------------
City | THOMASTON
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06787-1428
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-307-8096
-----------------------------------------------------
Fax | 203-574-6880
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WA2000X
-----------------------------------------------------
Taxonomy Name | Administrator Registered Nurse
-----------------------------------------------------
License Number | E61375
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------