Tacke, Natalie Danielle

Tacke, Natalie Danielle is an individual health care provider with primary practice located at 2800 Godwin Blvd Fl 1 , Suffolk VA 23434-8038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tacke, Natalie Danielle can be contacted via phone (757) 934-4821.

Contact Information

Primary practice address
2800 Godwin Blvd Fl 1 Suffolk VA 23434-8038
Phone: (757) 934-4821
Fax: (757) 934-4276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024171821 Virginia

Profile Details

NPI number 1942609003
LBN Legal business name Tacke, Natalie Danielle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2014
Last updated May 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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