Provider Demographics
NPI:1861144776
Name:BURTON, NATALE WOJCIECHOWSKI (FNP-BC)
Entity type:Individual
Prefix:
First Name:NATALE
Middle Name:WOJCIECHOWSKI
Last Name:BURTON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 EPTING AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-4040
Mailing Address - Country:US
Mailing Address - Phone:864-725-5326
Mailing Address - Fax:864-725-5327
Practice Address - Street 1:410 EPTING AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-4040
Practice Address - Country:US
Practice Address - Phone:864-725-5326
Practice Address - Fax:864-725-5327
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25648363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty