Provider Demographics
NPI:1225872633
Name:SANFRATELLO, NATALIA MARIE (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:MARIE
Last Name:SANFRATELLO
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:MARIE
Other - Last Name:SANFRATELLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17629 HOWE AVE
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-1026
Mailing Address - Country:US
Mailing Address - Phone:708-527-2290
Mailing Address - Fax:
Practice Address - Street 1:402 TOWN CENTER RD
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2300
Practice Address - Country:US
Practice Address - Phone:708-852-5179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.029901363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily