MEDICARE: NATACHA ORELIEN AGPCNP-BC, PMHNP-BC

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	363LG0600X	Gerontology Nurse Practitioner	26NJ01040800	NJ
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ01040800	NJ

General Provider Information

NPI Number	:	1275151961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATACHA ORELIEN AGPCNP-BC, PMHNP-BC

Provider Business Mailing Address
First Line	:	2194 STECHER AVE
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-5252
Country	:	US
Telephone Number	:	908-644-9036
Fax Number	:	908-641-4971

Provider Business Practice Location Address
First Line	:	971 STUYVESANT AVE
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-6907
Country	:	US
Telephone Number	:	908-644-9036
Fax Number	:	908-641-4971

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

Provider Enumeration Date	:	07/08/2020
Last Update Date	:	03/12/2026

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