Provider Demographics
NPI:1114506730
Name:TERRERI, NATALIE RENEE (PA-C)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:RENEE
Last Name:TERRERI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:RENEE
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4050 BARRANCA PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-1723
Mailing Address - Country:US
Mailing Address - Phone:657-241-8788
Mailing Address - Fax:657-276-4729
Practice Address - Street 1:4050 BARRANCA PKWY STE 200
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-1723
Practice Address - Country:US
Practice Address - Phone:657-241-8788
Practice Address - Fax:657-276-4729
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant