Provider Demographics
NPI:1609522333
Name:INGERSKI, NATALIE ANN (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:INGERSKI
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WASSON PL
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-7650
Mailing Address - Country:US
Mailing Address - Phone:386-569-7830
Mailing Address - Fax:386-313-6078
Practice Address - Street 1:140 PINNACLES DR
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2322
Practice Address - Country:US
Practice Address - Phone:386-313-6035
Practice Address - Fax:386-313-6078
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11018056363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily