Provider Demographics
NPI:1043738248
Name:SEE, NATASHA JEAN (MS, RN, AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:JEAN
Last Name:SEE
Suffix:
Gender:F
Credentials:MS, RN, AGACNP-BC
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:JEAN
Other - Last Name:GRAYDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:801 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4626
Mailing Address - Country:US
Mailing Address - Phone:530-877-3480
Mailing Address - Fax:
Practice Address - Street 1:1164 LIVE OAK BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3407
Practice Address - Country:US
Practice Address - Phone:530-743-5428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA756303163W00000X
CA95007082363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse