Doctor Name: | MRS. NATALIE ROSEMARIE OLENDORF |
NPI Number: | 1881923472 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 4704270693 |
Business Practice Address: | 3434 Harbor-petoskey Rd Suite C Community Health Center Of Northern Michigan Harbor Springs, MI - 49740 |
Business Phone Number: | 2313489900 |
Business Fax Number: | 9893583780 |
Mailing Address: | 3434 Harbor-petoskey Rd, Suite C HARBOR SPRINGS |
State: | MI |
Postal Code: | 49740 |
Phone Number: | 2313489900 |
Fax Number: | 9893583780 |
NPI Enumeration Date: | 12/10/2009 |
NPI Last Update Date: | 11/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704270693 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |