Provider Demographics
NPI:1295468783
Name:NICHOLS-BUERKLE, NATALIE N (APRN)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:N
Last Name:NICHOLS-BUERKLE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:N
Other - Last Name:NICHOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:395 NEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38066-5364
Mailing Address - Country:US
Mailing Address - Phone:901-210-7808
Mailing Address - Fax:
Practice Address - Street 1:2693 UNION AVENUE EXT STE 100
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-4403
Practice Address - Country:US
Practice Address - Phone:901-726-0843
Practice Address - Fax:901-278-2695
Is Sole Proprietor?:No
Enumeration Date:2022-07-03
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS905329363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care