Provider Demographics
NPI:1043785777
Name:HAROLD, NATALIE KIRSTEN (CP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:KIRSTEN
Last Name:HAROLD
Suffix:
Gender:F
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 2ND AVE S STE 200
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-8449
Mailing Address - Country:US
Mailing Address - Phone:425-771-0797
Mailing Address - Fax:
Practice Address - Street 1:123 2ND AVE S STE 200
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-8449
Practice Address - Country:US
Practice Address - Phone:425-771-0797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist