Provider Demographics
NPI:1194251637
Name:MOHLER, NATALIE ANN (WHCNP-BC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:MOHLER
Suffix:
Gender:F
Credentials:WHCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2623 NE 88TH PL
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6852
Mailing Address - Country:US
Mailing Address - Phone:360-845-1388
Mailing Address - Fax:360-810-9867
Practice Address - Street 1:2623 NE 88TH PL
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6852
Practice Address - Country:US
Practice Address - Phone:360-845-1388
Practice Address - Fax:360-810-9867
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201703013NP-PP363LW0102X
WAAP61146837363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500724853Medicaid
WA2078851Medicaid