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NPI Code Detail

MEDICARE: NATHALIE MARIE DULL FNP-C

MEDICARE:   NATHALIE MARIE DULL  FNP-C
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 Practitioner251133AK

General Provider Information

NPI Number : 1962162131
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHALIE MARIE DULL FNP-C
Provider Business Mailing Address
First Line : 6000 KANAKANAK ROAD
Second Line : SUITE 130
City : DILLINGHAM
State : AK
Zip : 99576
Country : US
Telephone Number : 190-784-2520
Fax Number :
Provider Business Practice Location Address
First Line : 6000 KANAKANAK ROAD
Second Line : SUITE 130
City : DILLINGHAM
State : AK
Zip : 99576
Country : US
Telephone Number : 907-843-1044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2021
Last Update Date : 04/09/2026

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Directions to “ NATHALIE MARIE DULL FNP-C” Practice Location

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