Individual
MRS. NATALIA GOETZ HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCFNP
Contact information
Practice address
724 AUBREY BELL DR, MATTHEWS, NC 28105-5055
(704) 295-3550
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024166742
VA
363LF0000X
Family Nurse Practitioner
Primary
0050-03620
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046727
WELLCARE OF SC
SC
01
—
17812
BCBSNC
NC
01
—
30159536
SELECT HEALTH
SC
05
—
7005152
—
NC
01
—
7364986
AETNA
—
05
—
NP1396
—
SC
01
—
P01309686
MEDICARE RAILROAD
NC
Enumeration date
11/21/2005
Last updated
04/26/2021
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