Provider Demographics
NPI:1902543879
Name:ALDRIDGE, CORNELIA NATASHA
Entity Type:Individual
Prefix:MRS
First Name:CORNELIA
Middle Name:NATASHA
Last Name:ALDRIDGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 UTAH PL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-3332
Mailing Address - Country:US
Mailing Address - Phone:804-573-4421
Mailing Address - Fax:
Practice Address - Street 1:3108 N PARHAM RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4421
Practice Address - Country:US
Practice Address - Phone:804-573-4421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula