Provider Demographics
NPI:1053814954
Name:SMITH, NATALIA (FNP, AGACNP)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP, AGACNP
Other - Prefix:
Other - First Name:NATALIA
Other - Middle Name:
Other - Last Name:MENERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP, AGACNP
Mailing Address - Street 1:21632 HIGHWAY 99
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-8032
Mailing Address - Country:US
Mailing Address - Phone:425-673-8300
Mailing Address - Fax:
Practice Address - Street 1:21632 HIGHWAY 99
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8032
Practice Address - Country:US
Practice Address - Phone:425-673-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60849222363LA2100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty