Individual
NATALIE ELIZABETH COULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1330
(203) 732-1332
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-7325
(203) 732-1539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1150
CT
363AM0700X
Medical Physician Assistant
001150
CT
Other
Enumeration date
05/04/2006
Last updated
04/27/2022
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