Provider Demographics
NPI:1649077579
Name:OAKLEY, NATALIE NOEL (FNP-C)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:NOEL
Last Name:OAKLEY
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6378 E BOOTHWYN ST
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-6729
Mailing Address - Country:US
Mailing Address - Phone:623-377-0732
Mailing Address - Fax:
Practice Address - Street 1:14600 S WATERBERRY ST
Practice Address - Street 2:
Practice Address - City:MAYER
Practice Address - State:AZ
Practice Address - Zip Code:86333-2027
Practice Address - Country:US
Practice Address - Phone:928-271-5490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ320710207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine