Provider Demographics
NPI:1861703407
Name:HESS, NATALIE ANN
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANN
Last Name:HESS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:ANN
Other - Last Name:JARAMILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 MENAUL BLVD NE UNIT 1806
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-1577
Mailing Address - Country:US
Mailing Address - Phone:505-450-5475
Mailing Address - Fax:
Practice Address - Street 1:2201 SAN PEDRO DR NE STE 100
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4133
Practice Address - Country:US
Practice Address - Phone:505-450-5475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-089521041C0700X
103K00000X
NMX-089001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst