Provider Demographics
NPI:1942678446
Name:YOUNGNER, NATALIE ANN (MSN, - FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANN
Last Name:YOUNGNER
Suffix:
Gender:F
Credentials:MSN, - FNP-BC
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:ANN
Other - Last Name:MACKAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP-BC
Mailing Address - Street 1:635 N. DEARBORN ST. SUITE 100
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654
Mailing Address - Country:US
Mailing Address - Phone:312-694-2127
Mailing Address - Fax:
Practice Address - Street 1:1333 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5785
Practice Address - Country:US
Practice Address - Phone:312-694-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013290363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily