Provider Demographics
NPI:1194382440
Name:NATALE, JEFFERY ALLAN (MSN, CRNP)
Entity Type:Individual
Prefix:MR
First Name:JEFFERY
Middle Name:ALLAN
Last Name:NATALE
Suffix:
Gender:M
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 FORD AVE
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-4612
Mailing Address - Country:US
Mailing Address - Phone:301-759-4544
Mailing Address - Fax:301-726-4446
Practice Address - Street 1:1602 FORD AVE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-4612
Practice Address - Country:US
Practice Address - Phone:301-759-4544
Practice Address - Fax:301-726-4446
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR163891363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care