Provider Demographics
NPI:1912751942
Name:HAIN, NATALIE MARGARET (FNP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARGARET
Last Name:HAIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 SHAFTOE ST NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-6999
Mailing Address - Country:US
Mailing Address - Phone:678-982-3256
Mailing Address - Fax:
Practice Address - Street 1:1850 E WEST CONNECTOR
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1246
Practice Address - Country:US
Practice Address - Phone:770-988-5824
Practice Address - Fax:770-926-4377
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN250276363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner