Provider Demographics
NPI:1497271084
Name:WALD, NATALIE ELIZABETH (APRN, AGCNS-BC)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:ELIZABETH
Last Name:WALD
Suffix:
Gender:F
Credentials:APRN, AGCNS-BC
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Mailing Address - Street 1:333 COMMERCE ST STE 700
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37201-1835
Mailing Address - Country:US
Mailing Address - Phone:512-765-7092
Mailing Address - Fax:855-737-5542
Practice Address - Street 1:5444 WESTHEIMER RD STE 1000
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5318
Practice Address - Country:US
Practice Address - Phone:512-765-7092
Practice Address - Fax:855-737-5542
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2019-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP134734364SA2200X, 364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health