Provider Demographics
NPI:1093168957
Name:FLEMING, NATANYA NICOLE-MARIE (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:NATANYA
Middle Name:NICOLE-MARIE
Last Name:FLEMING
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13918 E MISSISSIPPI AVE # 68940
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3603
Mailing Address - Country:US
Mailing Address - Phone:919-917-3033
Mailing Address - Fax:
Practice Address - Street 1:13918 E MISSISSIPPI AVE # 68940
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3603
Practice Address - Country:US
Practice Address - Phone:919-917-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16438170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS