Provider Demographics
NPI:1891068102
Name:ADDAE, NATALIE MAE (CDMS)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:MAE
Last Name:ADDAE
Suffix:
Gender:F
Credentials:CDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 N SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:NEW CARLISLE
Mailing Address - State:OH
Mailing Address - Zip Code:45344-1825
Mailing Address - Country:US
Mailing Address - Phone:937-234-3793
Mailing Address - Fax:937-679-5144
Practice Address - Street 1:314 N SCOTT ST
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:OH
Practice Address - Zip Code:45344-1825
Practice Address - Country:US
Practice Address - Phone:937-234-3793
Practice Address - Fax:937-679-5144
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator