Provider Demographics
NPI:1629338371
Name:POWELL, NATALIE (CNP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:POWELL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44222-0640
Mailing Address - Country:US
Mailing Address - Phone:330-425-1485
Mailing Address - Fax:330-405-7960
Practice Address - Street 1:8054 DARROW RD
Practice Address - Street 2:BLDG D SUITE 1
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2381
Practice Address - Country:US
Practice Address - Phone:330-425-1485
Practice Address - Fax:330-405-7960
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN360099163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse