Provider Demographics
NPI:1376183319
Name:EMHOLZ, NATALIE (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:EMHOLZ
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-2977
Mailing Address - Country:US
Mailing Address - Phone:931-647-3692
Mailing Address - Fax:931-647-0279
Practice Address - Street 1:1636 MADISON ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-2977
Practice Address - Country:US
Practice Address - Phone:931-647-3692
Practice Address - Fax:931-647-0279
Is Sole Proprietor?:No
Enumeration Date:2020-01-07
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily