Provider Demographics
NPI:1407403066
Name:WRENN, NATALIE ODIORNE (LAT, ATC)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ODIORNE
Last Name:WRENN
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:MISS
Other - First Name:NATALIE
Other - Middle Name:LAVERNE
Other - Last Name:ODIORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAT, ATC
Mailing Address - Street 1:5901 FRIEDEN CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:GIBSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27249-8833
Mailing Address - Country:US
Mailing Address - Phone:910-988-5448
Mailing Address - Fax:
Practice Address - Street 1:3708 MAYFAIR ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6226
Practice Address - Country:US
Practice Address - Phone:984-215-4780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAT-48862255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer