Provider Demographics
NPI:1356890347
Name:POHL, NATALIE M (PA)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:M
Last Name:POHL
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2973 BRAXTON WOOD CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1340
Mailing Address - Country:US
Mailing Address - Phone:540-842-0137
Mailing Address - Fax:
Practice Address - Street 1:2041 GEORGIA AVE NW
Practice Address - Street 2:ST. 1-400
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:202-865-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-02
Last Update Date:2022-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCPA031306363A00000X
VA0110-005523363A00000X
CA61201363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant