Provider Demographics
NPI:1598225013
Name:COFIE, NATALIE GUERRERO (MD, PHD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:GUERRERO
Last Name:COFIE
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:GUERRERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:410 WEST 10TH STREET
Mailing Address - Street 2:HS1001
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3411
Mailing Address - Country:US
Mailing Address - Phone:317-274-8812
Mailing Address - Fax:832-825-9302
Practice Address - Street 1:410 WEST 10TH STREET
Practice Address - Street 2:HS1001
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-3411
Practice Address - Country:US
Practice Address - Phone:317-274-8812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program