Provider Demographics
NPI:1508269663
Name:LANE, NATALIE N (FNP)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:N
Last Name:LANE
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:800 HIGHLANDER POINT DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-9465
Mailing Address - Country:US
Mailing Address - Phone:812-542-4921
Mailing Address - Fax:812-949-5966
Practice Address - Street 1:1919 STATE ST
Practice Address - Street 2:SUITE 244
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4929
Practice Address - Country:US
Practice Address - Phone:812-948-5010
Practice Address - Fax:812-944-4661
Is Sole Proprietor?:No
Enumeration Date:2014-10-03
Last Update Date:2016-05-12
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Provider Licenses
StateLicense IDTaxonomies
IN28170448363LF0000X
INF1014913363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily