Provider Demographics
NPI:1104385194
Name:WORKMAN, NATASHA LEANN (CRNP)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:LEANN
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 WALKER CHAPEL PLZ STE 115
Mailing Address - Street 2:
Mailing Address - City:FULTONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35068-3402
Mailing Address - Country:US
Mailing Address - Phone:205-250-6424
Mailing Address - Fax:
Practice Address - Street 1:339 WALKER CHAPEL PLZ STE 115
Practice Address - Street 2:
Practice Address - City:FULTONDALE
Practice Address - State:AL
Practice Address - Zip Code:35068-3402
Practice Address - Country:US
Practice Address - Phone:205-250-6424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-18
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-157374163W00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty