Provider Demographics
NPI:1770942740
Name:WELLINGTON, NATALIE (APRN-NP-C)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:WELLINGTON
Suffix:
Gender:F
Credentials:APRN-NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4840 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1601
Mailing Address - Country:US
Mailing Address - Phone:913-491-6878
Mailing Address - Fax:913-491-3172
Practice Address - Street 1:4840 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1601
Practice Address - Country:US
Practice Address - Phone:913-491-6878
Practice Address - Fax:913-491-3172
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77105-112363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS53-77105-112OtherNP LICENSE IN KANSAS