Provider Demographics
NPI:1790175180
Name:STANGER, NATALIE (RNFA)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:STANGER
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:STANGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNFA
Mailing Address - Street 1:PO BOX 726
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-0726
Mailing Address - Country:US
Mailing Address - Phone:815-474-4059
Mailing Address - Fax:
Practice Address - Street 1:713 JANICE ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-4532
Practice Address - Country:US
Practice Address - Phone:815-474-4059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-23
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041324593163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant