Provider Demographics
NPI:1326450826
Name:STURTZ, NATALYA (RN, BSN, PHN)
Entity Type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:STURTZ
Suffix:
Gender:F
Credentials:RN, BSN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 MULLER RD
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-4852
Mailing Address - Country:US
Mailing Address - Phone:408-314-5711
Mailing Address - Fax:
Practice Address - Street 1:9616 MICRON AVE STE 950
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2604
Practice Address - Country:US
Practice Address - Phone:916-875-7914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA800674163W00000X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health