Provider Demographics
NPI:1679187421
Name:PADGETT, NATALIE (BSN, RN, NCSN)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:PADGETT
Suffix:
Gender:F
Credentials:BSN, RN, NCSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 SEA ISLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENA ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29920-4399
Mailing Address - Country:US
Mailing Address - Phone:843-838-0368
Mailing Address - Fax:843-838-0330
Practice Address - Street 1:1025 SEA ISLAND PKWY
Practice Address - Street 2:
Practice Address - City:SAINT HELENA ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29920-4399
Practice Address - Country:US
Practice Address - Phone:843-838-0368
Practice Address - Fax:843-838-0330
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC226349163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC103615583OtherDRIVERS LICENSE