Provider Demographics
NPI:1851277305
Name:PITTERSON, NATALIE (RN)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:PITTERSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 BARCLAY WOOD DR
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-7613
Mailing Address - Country:US
Mailing Address - Phone:912-272-4666
Mailing Address - Fax:
Practice Address - Street 1:206 KANAWHA AVE
Practice Address - Street 2:
Practice Address - City:NITRO
Practice Address - State:WV
Practice Address - Zip Code:25143-2019
Practice Address - Country:US
Practice Address - Phone:912-272-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9541084163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse