Provider Demographics
NPI:1932406097
Name:THIEL, NATALIE ELISE
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:ELISE
Last Name:THIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2152 N VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-1948
Mailing Address - Country:US
Mailing Address - Phone:510-387-9781
Mailing Address - Fax:
Practice Address - Street 1:2152 N VALLEY ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94702-1948
Practice Address - Country:US
Practice Address - Phone:510-387-9781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula