MEDICARE: NATALIE GUAGENTI

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1407603889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE GUAGENTI

Provider Business Mailing Address
First Line	:	12824 DISTRICT SOUTH DR APT 6302
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-5219
Country	:	US
Telephone Number	:	215-913-5162
Fax Number	:

Provider Business Practice Location Address
First Line	:	12824 DISTRICT SOUTH DR APT 6302
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-5219
Country	:	US
Telephone Number	:	215-913-5162
Fax Number	:

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

Provider Enumeration Date	:	05/02/2024
Last Update Date	:	05/02/2024

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Directions to “ NATALIE GUAGENTI ” Practice Location

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