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NPI Code Detail

MEDICARE: NATALIE NOLL

MEDICARE:   NATALIE  NOLL
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
11041C0700XClinical Social Worker09931653CO

General Provider Information

NPI Number : 1518809706
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE NOLL
Provider Business Mailing Address
First Line : 2310 FARRAGUT AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6507
Country : US
Telephone Number : 719-271-6165
Fax Number :
Provider Business Practice Location Address
First Line : 2310 FARRAGUT AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6507
Country : US
Telephone Number : 719-271-6165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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