Basic Information
Provider Information
NPI: 1962781005
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNTER
FirstName: NATALIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 277279
Address2:  
City: ATLANTA
State: GA
PostalCode: 303847279
CountryCode: US
TelephoneNumber: 8002433839
FaxNumber: 8555275510
Practice Location
Address1: 615 E PRINCETON ST STE 310
Address2:  
City: ORLANDO
State: FL
PostalCode: 328031468
CountryCode: US
TelephoneNumber: 4073035781
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/07/2011
LastUpdateDate: 11/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200X9220401FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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