Provider Demographics
NPI:1962044222
Name:FLANAGAN, NATALIE GRACE (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:NATALIE
Middle Name:GRACE
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:121 TOWNE SQUARE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-9440
Mailing Address - Country:US
Mailing Address - Phone:717-988-8300
Mailing Address - Fax:717-221-5384
Practice Address - Street 1:121 TOWNE SQUARE DR STE 101
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-9440
Practice Address - Country:US
Practice Address - Phone:717-988-8300
Practice Address - Fax:717-221-5384
Is Sole Proprietor?:No
Enumeration Date:2019-10-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOA005052363AM0700X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical