Provider Demographics
NPI:1417248378
Name:ALLEN, NATALIE M (FNP)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:M
Last Name:ALLEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:M
Other - Last Name:CLOSSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2550 N THUNDERBIRD CIR STE 303
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-1219
Mailing Address - Country:US
Mailing Address - Phone:480-455-4932
Mailing Address - Fax:480-776-0025
Practice Address - Street 1:10015 N AMBASSADOR DR STE 100
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153
Practice Address - Country:US
Practice Address - Phone:816-595-4000
Practice Address - Fax:816-595-4001
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS75658363LF0000X
MO2011006161363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2011006161OtherFNP LICENSE
KS99275OtherRN LICENSE
MO154008OtherRN LICENSE
KS75658OtherFNP LICENSE