Provider Demographics
NPI:1205483575
Name:ANDERSON, NATALIE R (FNP-C)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:R
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3845 CYPRESS CREEK PKWY STE 335
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3552
Mailing Address - Country:US
Mailing Address - Phone:346-235-3592
Mailing Address - Fax:346-566-3593
Practice Address - Street 1:3845 CYPRESS CREEK PKWY STE 335
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3552
Practice Address - Country:US
Practice Address - Phone:346-235-3592
Practice Address - Fax:346-566-3593
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-21
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142570363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily