Provider Demographics
NPI:1528494713
Name:DUFFY, NATALIE E (CRNP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:E
Last Name:DUFFY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:E
Other - Last Name:GOTTSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 PINE GROVE COMMONS
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5161
Mailing Address - Country:US
Mailing Address - Phone:717-755-2020
Mailing Address - Fax:717-755-2390
Practice Address - Street 1:400 PINE GROVE COMMONS
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5161
Practice Address - Country:US
Practice Address - Phone:717-755-2020
Practice Address - Fax:717-755-2390
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013348363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner