Provider Demographics
NPI:1427507086
Name:PAUL, NATALIE (FNP)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:
Last Name:PAUL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 NE 109TH CT STE A
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6104
Mailing Address - Country:US
Mailing Address - Phone:360-727-1641
Mailing Address - Fax:877-349-1923
Practice Address - Street 1:5500 NE 109TH CT STE A
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6104
Practice Address - Country:US
Practice Address - Phone:360-727-1641
Practice Address - Fax:877-349-1923
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2024-07-25
Deactivation Date:2023-10-30
Deactivation Code:
Reactivation Date:2023-11-02
Provider Licenses
StateLicense IDTaxonomies
WAAP60701533363LF0000X
TN21781363LF0000X
OR202003535NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily