Provider Demographics
NPI:1568632685
Name:EVANS, NATALIE BALL (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:BALL
Last Name:EVANS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7777 HENNESSY BLVD SUITE 103
Mailing Address - Street 2:PEDIATRIC HOSPITALISTS OF LA
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808
Mailing Address - Country:US
Mailing Address - Phone:225-767-6700
Mailing Address - Fax:225-767-6721
Practice Address - Street 1:7777 HENNESSY BLVD SUITE 103
Practice Address - Street 2:PEDIATRIC HOSPITALISTS OF LA
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808
Practice Address - Country:US
Practice Address - Phone:225-767-6700
Practice Address - Fax:225-767-6721
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.201992208000000X
LA2019922080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1508225Medicaid