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NPI Code Detail

MEDICARE: NATALIE BLIGHT NURSE PRACTITIONER

MEDICARE: NATALIE BLIGHT NURSE PRACTITIONER
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
1363LF0000XFamily Nurse Practitioner1009877TX

General Provider Information

NPI Number : 1366108847
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE BLIGHT NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 4960 LITTLEWOOD DR
Second Line :
City : BEAUMONT
State : TX
Zip : 77706-8702
Country : US
Telephone Number : 346-814-8535
Fax Number :
Provider Business Practice Location Address
First Line : 3250 MEDICAL CENTER DR
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-4627
Country : US
Telephone Number : 409-813-1765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2021
Last Update Date : 04/02/2024

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Directions to “ NATALIE BLIGHT NURSE PRACTITIONER” Practice Location

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