Provider Demographics
NPI:1386090470
Name:WILTSHIRE, NATALIA
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:WILTSHIRE
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 1:2340 WOODWIND TRL APT 408
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-2197
Mailing Address - Country:US
Mailing Address - Phone:321-216-7259
Mailing Address - Fax:
Practice Address - Street 1:2340 WOODWIND TRL APT 408
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-2197
Practice Address - Country:US
Practice Address - Phone:321-216-7259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No374U00000XNursing Service Related ProvidersHome Health Aide