Provider Demographics
NPI:1386528552
Name:PARKS, NATALIE (PA - C)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:PARKS
Suffix:
Gender:F
Credentials:PA - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8125 JUNIPER CIR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-7855
Mailing Address - Country:US
Mailing Address - Phone:317-607-3966
Mailing Address - Fax:
Practice Address - Street 1:8125 JUNIPER CIR
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-7855
Practice Address - Country:US
Practice Address - Phone:317-607-3966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant