Provider Demographics
NPI:1932883709
Name:RESH, NATALIE ANN (CRNP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:RESH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:ANN
Other - Last Name:TOBUREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:907 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-2273
Mailing Address - Country:US
Mailing Address - Phone:667-930-5999
Mailing Address - Fax:
Practice Address - Street 1:907 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-2273
Practice Address - Country:US
Practice Address - Phone:667-930-5999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN721325163WE0003X
PASP028330363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency