Provider Demographics
NPI:1801620380
Name:LARKIN, NATALIE (FNP-C)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:LARKIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:RODZINKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:715 AUDUBON RD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-3001
Mailing Address - Country:US
Mailing Address - Phone:226-348-2956
Mailing Address - Fax:
Practice Address - Street 1:5050 MARSH RD STE 5
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-1158
Practice Address - Country:US
Practice Address - Phone:517-706-2024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704336945363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily