Provider Demographics
NPI:1295228914
Name:SIGNAIGO, NATALIE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:SIGNAIGO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:CORUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 TOBITS FIDES LN
Mailing Address - Street 2:
Mailing Address - City:MAYNARDVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37807-2153
Mailing Address - Country:US
Mailing Address - Phone:803-603-1134
Mailing Address - Fax:
Practice Address - Street 1:2975 MAYNARDVILLE HWY
Practice Address - Street 2:
Practice Address - City:MAYNARDVILLE
Practice Address - State:TN
Practice Address - Zip Code:37807-3260
Practice Address - Country:US
Practice Address - Phone:865-658-5353
Practice Address - Fax:865-658-5355
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-07
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily