Provider Demographics
NPI:1568187763
Name:BATTS, NATARSHA NICOLE
Entity Type:Individual
Prefix:
First Name:NATARSHA
Middle Name:NICOLE
Last Name:BATTS
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 1:119 PARK DR N
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-2445
Mailing Address - Country:US
Mailing Address - Phone:804-892-2212
Mailing Address - Fax:
Practice Address - Street 1:119 PARK DR N
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-2445
Practice Address - Country:US
Practice Address - Phone:804-892-2212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services