Provider Demographics
NPI:1487309274
Name:KAREK, NATASHA MARIE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:MARIE
Last Name:KAREK
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MRS
Other - First Name:NATASHA
Other - Middle Name:MARIE
Other - Last Name:STURGEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3300 W MEAD RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:MI
Mailing Address - Zip Code:48879-9418
Mailing Address - Country:US
Mailing Address - Phone:989-640-4948
Mailing Address - Fax:
Practice Address - Street 1:32605 W 12 MILE RD STE 195
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3390
Practice Address - Country:US
Practice Address - Phone:313-306-2023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704288420163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse