Provider Demographics
NPI:1578298089
Name:EHRET, NATALIE ROSE (NP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:ROSE
Last Name:EHRET
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12235 VANCE JACKSON RD APT 726
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5964
Mailing Address - Country:US
Mailing Address - Phone:908-433-8522
Mailing Address - Fax:
Practice Address - Street 1:115 GALLERY CIR STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3389
Practice Address - Country:US
Practice Address - Phone:908-433-8522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1071290363L00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine