Provider Demographics
NPI:1043747504
Name:BUELTMANN, NATALIE E (NP-C)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:E
Last Name:BUELTMANN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 S WOODS MILL RD STE 410N
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3632
Mailing Address - Country:US
Mailing Address - Phone:314-469-6224
Mailing Address - Fax:314-469-0744
Practice Address - Street 1:222 S WOODS MILL RD STE 410N
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3632
Practice Address - Country:US
Practice Address - Phone:314-469-6224
Practice Address - Fax:314-469-0744
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007021109163W00000X
MOF06162109363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2016027442OtherMEDICAL LICENSE