MEDICARE: MS. NATALIE R ANDERSON FNP-C

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	363L00000X	Nurse Practitioner	AP142570	TX
2	363LF0000X	Family Nurse Practitioner	AP142570	TX

General Provider Information

NPI Number	:	1205483575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATALIE R ANDERSON FNP-C

Provider Business Mailing Address
First Line	:	3845 CYPRESS CREEK PKWY STE 335
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3552
Country	:	US
Telephone Number	:	346-235-3592
Fax Number	:	346-566-3593

Provider Business Practice Location Address
First Line	:	3845 CYPRESS CREEK PKWY STE 335
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3552
Country	:	US
Telephone Number	:	346-235-3592
Fax Number	:	346-566-3593

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

Provider Enumeration Date	:	08/21/2019
Last Update Date	:	01/22/2025

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