Provider Demographics
NPI:1831640317
Name:HIDDEN, NATALIA ANITA CHRISTINA (FNP-C)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:ANITA CHRISTINA
Last Name:HIDDEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NATALIA
Other - Middle Name:ANITA CHRISTINA
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2120
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-2120
Mailing Address - Country:US
Mailing Address - Phone:541-274-6211
Mailing Address - Fax:541-274-6247
Practice Address - Street 1:2200 BRYANT WILLIAMS DR STE 5
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-1121
Practice Address - Country:US
Practice Address - Phone:541-274-8910
Practice Address - Fax:541-274-8915
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-19
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209016297363L00000X
OR202009008NP-PP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner