Provider Demographics
NPI: | 1730906819 |
---|---|
Name: | FRANCE, NATALIE NICOLE (APRN) |
Entity type: | Individual |
Prefix: | |
First Name: | NATALIE |
Middle Name: | NICOLE |
Last Name: | FRANCE |
Suffix: | |
Gender: | F |
Credentials: | APRN |
Other - Prefix: | |
Other - First Name: | NATALIE |
Other - Middle Name: | |
Other - Last Name: | GADD |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | |
Mailing Address - Street 1: | 95 S LAUREL RD STE 1 |
Mailing Address - Street 2: | |
Mailing Address - City: | LONDON |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 40744-8300 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 606-770-5086 |
Mailing Address - Fax: | 863-456-1301 |
Practice Address - Street 1: | 95 S LAUREL RD STE 1 |
Practice Address - Street 2: | |
Practice Address - City: | LONDON |
Practice Address - State: | KY |
Practice Address - Zip Code: | 40744-8300 |
Practice Address - Country: | US |
Practice Address - Phone: | 606-770-5086 |
Practice Address - Fax: | 863-456-1301 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2024-09-20 |
Last Update Date: | 2025-04-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
KY | 4033633 | 363LP0808X |
KY | 1156773 | 163W00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health |
No | 163W00000X | Nursing Service Providers | Registered Nurse |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
KY | 7101044910 | Medicaid |