Provider Demographics
NPI:1861689531
Name:TINSELY, NATALIE SMITH (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:SMITH
Last Name:TINSELY
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5610 SW LEE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-9635
Mailing Address - Country:US
Mailing Address - Phone:580-536-6600
Mailing Address - Fax:580-536-2427
Practice Address - Street 1:916 SW 38TH ST STE D
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-7005
Practice Address - Country:US
Practice Address - Phone:580-699-7699
Practice Address - Fax:580-699-7698
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK51985363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner