Provider Demographics
NPI:1144111527
Name:ETTER, NATALIA
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:ETTER
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 1:1951 CORTEREAL AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2631
Mailing Address - Country:US
Mailing Address - Phone:408-724-7630
Mailing Address - Fax:
Practice Address - Street 1:1750 HARBOR ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-4615
Practice Address - Country:US
Practice Address - Phone:510-882-7791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program