Provider Demographics
NPI:1811624901
Name:ALT, NATALIE (FNP-BC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:ALT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:112 KUYKENDALL LN
Mailing Address - Street 2:
Mailing Address - City:MOOREFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:26836-1167
Mailing Address - Country:US
Mailing Address - Phone:304-530-7755
Mailing Address - Fax:304-530-7756
Practice Address - Street 1:112 KUYKENDALL LN
Practice Address - Street 2:
Practice Address - City:MOOREFIELD
Practice Address - State:WV
Practice Address - Zip Code:26836-1167
Practice Address - Country:US
Practice Address - Phone:304-530-7755
Practice Address - Fax:304-530-7756
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2025-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV113864207Q00000X
WV113684363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine