Individual provider · Type 1 NPI

Laura Marie Nathan, NP-C

Family Nurse Practitioner · Memphis, TN

NPI number 1104468669 Active

Practice location

1211 Union Ave Ste 965
Memphis, TN 38104-6638

Fax (901) 516-0933

Mailing address

P O Box 1000 Dept 960
Memphis, TN 38148-0001

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26434 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1104468669

Laura Marie Nathan, NP-C's National Provider Identifier is 1104468669, issued on Oct 16, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Memphis, TN. The record was last updated on Oct 16, 2019.