Provider Demographics
NPI:1548928732
Name:HALE, NATALIE MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIE
Last Name:HALE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:MARIE
Other - Last Name:HUTCHINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:221 E VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40069-1149
Mailing Address - Country:US
Mailing Address - Phone:270-402-5011
Mailing Address - Fax:
Practice Address - Street 1:325 W WALNUT ST STE 600
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-1378
Practice Address - Country:US
Practice Address - Phone:270-699-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3016890363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily