Provider Demographics
NPI:1417831256
Name:MITHIRI, NATALIE GRACE (APRN)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:GRACE
Last Name:MITHIRI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:GRACE
Other - Last Name:KRUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3430 CHESTNUT HILL DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-7463
Mailing Address - Country:US
Mailing Address - Phone:920-569-9866
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0002
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0039730363LG0600X
OHRN.461033163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse