Provider Demographics
NPI:1457880577
Name:RICHARDSON, NATALIE HYATT (RN)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:HYATT
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44617 S AIRPORT RD STE C
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-0324
Mailing Address - Country:US
Mailing Address - Phone:985-429-7611
Mailing Address - Fax:985-429-7616
Practice Address - Street 1:44617 S AIRPORT RD STE C
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-0324
Practice Address - Country:US
Practice Address - Phone:985-429-7611
Practice Address - Fax:985-429-7616
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN113203163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
LARN113203OtherLSBN