Provider Demographics
NPI:1255595450
Name:STRONG, NATALIE N (RNC WHNP-BC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:N
Last Name:STRONG
Suffix:
Gender:F
Credentials:RNC WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 N SHADELAND AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-1712
Mailing Address - Country:US
Mailing Address - Phone:317-355-3232
Mailing Address - Fax:317-355-7851
Practice Address - Street 1:2040 N SHADELAND AVE STE 300
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-1712
Practice Address - Country:US
Practice Address - Phone:317-355-3232
Practice Address - Fax:317-355-7851
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002819A363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200956220Medicaid
IN200956220Medicaid
IN248310CMedicare PIN