Individual
NATALIE MARIE ANTAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
791 TURNER ST UNIT 2, AUBURN, ME 04210-6314
(207) 330-3900
(207) 330-3940
Mailing address
PO BOX 95000 LBX 7650, PHILADELPHIA, PA 19195-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
11/07/2022
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