Provider Demographics
NPI:1437766482
Name:OBEY, NATALYN
Entity Type:Individual
Prefix:
First Name:NATALYN
Middle Name:
Last Name:OBEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9215 WOFFORD LN
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-3938
Mailing Address - Country:US
Mailing Address - Phone:301-283-8621
Mailing Address - Fax:
Practice Address - Street 1:10095 WASHINGTON BLVD N STE 134
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1968
Practice Address - Country:US
Practice Address - Phone:301-283-8621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty