Provider Demographics
NPI:1902579063
Name:PADIA, NATALIE RENEE (RN)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:RENEE
Last Name:PADIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17021 W 64TH DR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-6829
Mailing Address - Country:US
Mailing Address - Phone:720-468-9198
Mailing Address - Fax:
Practice Address - Street 1:17021 W 64TH DR
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80007-6829
Practice Address - Country:US
Practice Address - Phone:720-468-9198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1638448163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse