Provider Demographics
NPI:1912466111
Name:KORONA, NATALIE ANN (DNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:KORONA
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK AIR FORCE BASE
Mailing Address - State:AR
Mailing Address - Zip Code:72099-7933
Mailing Address - Country:US
Mailing Address - Phone:577-764-2982
Mailing Address - Fax:757-225-1489
Practice Address - Street 1:19TH MEDICAL GROUP
Practice Address - Street 2:1090 ARNOLD DR
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72099-7933
Practice Address - Country:US
Practice Address - Phone:577-764-2982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704265632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily