Provider Demographics
NPI:1700769726
Name:SHELL, NATAUSHA C
Entity type:Individual
Prefix:
First Name:NATAUSHA
Middle Name:C
Last Name:SHELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 RIDGEWAY DR
Mailing Address - Street 2:NATOT24@GMAIL.COM
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-2454
Mailing Address - Country:US
Mailing Address - Phone:864-346-9841
Mailing Address - Fax:864-236-7004
Practice Address - Street 1:29 RIDGEWAY DR
Practice Address - Street 2:NATOT24@GMAIL.COM
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-2454
Practice Address - Country:US
Practice Address - Phone:864-346-9841
Practice Address - Fax:864-236-7004
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health