Provider Demographics
NPI:1083407076
Name:MAURICE, NATHALIE TV
Entity type:Individual
Prefix:
First Name:NATHALIE
Middle Name:TV
Last Name:MAURICE
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 1:603 BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-5238
Mailing Address - Country:US
Mailing Address - Phone:917-488-3056
Mailing Address - Fax:917-488-3056
Practice Address - Street 1:603 BRISTOL ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-5238
Practice Address - Country:US
Practice Address - Phone:917-488-3056
Practice Address - Fax:917-488-3056
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula