Provider Demographics
NPI:1386362986
Name:EDMONSON, NATALIE FAITH (CRNP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:FAITH
Last Name:EDMONSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 MARSHALL RD
Mailing Address - Street 2:
Mailing Address - City:RAINSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35986-4349
Mailing Address - Country:US
Mailing Address - Phone:256-638-9355
Mailing Address - Fax:
Practice Address - Street 1:157 MARSHALL RD
Practice Address - Street 2:
Practice Address - City:RAINSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35986-4349
Practice Address - Country:US
Practice Address - Phone:256-638-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF08220729363LF0000X
AL1-166080363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily