MEDICARE: MS. NATASHA L LOVING CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R166662	MD
2	1744P3200X	Prosthetics Case Management	449166	MD

General Provider Information

NPI Number	:	1053698407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATASHA L LOVING CRNP

Provider Business Mailing Address
First Line	:	4554 HIDDEN STREAM CT
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4837
Country	:	US
Telephone Number	:	443-373-6081
Fax Number	:

Provider Business Practice Location Address
First Line	:	4554 HIDDEN STREAM CT
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4837
Country	:	US
Telephone Number	:	443-373-6081
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2011
Last Update Date	:	04/10/2017

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