Provider / Organization | NPI | Date Certified |
---|---|---|
NATALIE BROCK | 1649941071 | 2021-10-10 |
Natalie Brock is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649941071. Registration indicates Natalie Brock is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Natalie Brock FNP |
Other Provider Name | Natalie Roberts |
Practice Office Address | 1072 N LIBERTY ST STE 200 BOISE, ID US |
Practice Office Telephone | 2083024600 |
Mailing Address | 1072 N LIBERTY ST STE 200 BOISE, ID 837048963 US |
Business Telephone | 2083024600 |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 69978
ID |