Individual
NATALIE MARIE FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4715 WHITESBURG DR SE, HUNTSVILLE, AL 35802-1632
(256) 881-5151
(256) 880-3939
Mailing address
132 HEATHERWOOD DR, MADISON, AL 35758-8260
(256) 658-6056
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-102058
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-102058
STATE LICENSE
AL
Enumeration date
03/25/2008
Last updated
03/17/2018
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