MEDICARE: NATALIE KING RN

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1770048613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE KING RN

Provider Business Mailing Address
First Line	:	7260 LAS VEGAS BLVD S # 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7260 LAS VEGAS BLVD S # 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4020
Country	:	US
Telephone Number	:	859-536-0444
Fax Number	:

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

Provider Enumeration Date	:	02/05/2019
Last Update Date	:	02/05/2019

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Directions to “ NATALIE KING RN” Practice Location

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