Individual
NATALIE SAN LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7426 W BONNIE PL, KENNEWICK, WA 99336-1124
(866) 904-7721
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(512) 496-4464
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
202008994RN
OR
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN61261738
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
10013337
OR
367A00000X
Advanced Practice Midwife
10013337
OR
367A00000X
Advanced Practice Midwife
Primary
AP61465947
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278281
—
WA
Enumeration date
01/16/2022
Last updated
04/19/2024
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