Individual
NATALIE LISA BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
306 W MAIN ST STE 512, FRANKFORT, KY 40601-1840
(574) 546-1900
(574) 546-1999
Mailing address
269 OAKDALE DR, CLEARFIELD, KY 40313-9762
(606) 776-2865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3004334
KY
363LF0000X
Family Nurse Practitioner
Primary
3004334
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3004334
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100108660
—
KY
Enumeration date
11/11/2008
Last updated
01/31/2024
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