Provider Demographics
NPI:1437198959
Name:TROEHLER, NATASCHA EVE (ANP-C)
Entity Type:Individual
Prefix:MS
First Name:NATASCHA
Middle Name:EVE
Last Name:TROEHLER
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 120
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86405-0120
Mailing Address - Country:US
Mailing Address - Phone:928-503-2635
Mailing Address - Fax:
Practice Address - Street 1:3541 ENDURO DR
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86404-2255
Practice Address - Country:US
Practice Address - Phone:928-503-2635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2023-09-06
Deactivation Date:2023-05-08
Deactivation Code:
Reactivation Date:2023-09-06
Provider Licenses
StateLicense IDTaxonomies
AZAP2374363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZQ70321Medicare UPIN