Provider Demographics
NPI:1356098628
Name:MURAVIEVA, NATALIA VLADIMIROVNA (MSN, APRN,A-GNP-C)
Entity type:Individual
Prefix:MRS
First Name:NATALIA
Middle Name:VLADIMIROVNA
Last Name:MURAVIEVA
Suffix:
Gender:F
Credentials:MSN, APRN,A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 SENTINEL CHASE WAY
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-8299
Mailing Address - Country:US
Mailing Address - Phone:678-832-8506
Mailing Address - Fax:
Practice Address - Street 1:2635 SENTINEL CHASE WAY
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-8299
Practice Address - Country:US
Practice Address - Phone:678-832-8506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-07
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN284061207RE0101X, 363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology