Provider Demographics
NPI:1558626556
Name:EILAND, NATALIE ZOE (DO)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ZOE
Last Name:EILAND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603-2 N PROGRESS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-4113
Mailing Address - Country:US
Mailing Address - Phone:479-524-9312
Mailing Address - Fax:479-524-9627
Practice Address - Street 1:603-2 N PROGRESS AVE STE 100
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-4113
Practice Address - Country:US
Practice Address - Phone:479-524-9312
Practice Address - Fax:479-524-9627
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE9677207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR214438003Medicaid
OK200499790BMedicaid
AR214438003Medicaid