Provider Demographics
NPI:1508295973
Name:OREY, NATALIE E (PA-C)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:E
Last Name:OREY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:E
Other - Last Name:KNUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2093 HEALTH DR SW STE 201
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-9691
Mailing Address - Country:US
Mailing Address - Phone:616-328-5350
Mailing Address - Fax:616-452-4142
Practice Address - Street 1:2093 HEALTH DR SW STE 201
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-9691
Practice Address - Country:US
Practice Address - Phone:616-328-5350
Practice Address - Fax:616-452-4142
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601006872363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI1763068OtherMEDICARE PTAN