Provider Demographics
NPI:1609018316
Name:ALLISON, NATASHA LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:LOUISE
Last Name:ALLISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3176 4TH ST
Mailing Address - Street 2:UC HEALTH ER
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-2545
Mailing Address - Country:US
Mailing Address - Phone:405-406-2234
Mailing Address - Fax:
Practice Address - Street 1:5965 FIRESTONE BLVD
Practice Address - Street 2:UC HEALTH ER
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-6607
Practice Address - Country:US
Practice Address - Phone:303-678-4340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO51593207P00000X
IL125053557207P00000X
OH35C.000803207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine