Provider Demographics
NPI:1265133078
Name:FOX, NATALIE KIERSTEN-FORTNA (CRNP)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:KIERSTEN-FORTNA
Last Name:FOX
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:FORTNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2182 SHAWNEE DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5020
Mailing Address - Country:US
Mailing Address - Phone:412-370-8068
Mailing Address - Fax:
Practice Address - Street 1:1307 FEDERAL ST STE B100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4761
Practice Address - Country:US
Practice Address - Phone:412-359-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027163363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner