Provider Demographics
NPI:1235581414
Name:CARR, NATALIE
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:CARR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43244 FANCHON AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-1357
Mailing Address - Country:US
Mailing Address - Phone:213-343-3467
Mailing Address - Fax:
Practice Address - Street 1:1805 W AVENUE K
Practice Address - Street 2:STE 201 A
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-5925
Practice Address - Country:US
Practice Address - Phone:661-949-1345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health