Individual provider · Type 1 NPI

Natasha Neelum Douglass, FNP

Family Nurse Practitioner · Modesto, CA

NPI number 1093379752 Active

Practice location

1114 6th St
Modesto, CA 95354-2203

Fax (209) 576-8842

Mailing address

1910 Customer Care Way
Atwater, CA 95301-5167

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X843499 (CA)
Family Nurse Practitioner Primary 363LF0000X95011294 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1093379752

Natasha Neelum Douglass, FNP's National Provider Identifier is 1093379752, issued on Apr 29, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Modesto, CA. The record was last updated on Apr 29, 2019.