Basic Information
Provider Information
NPI: 1194972059
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARRONE
FirstName: NATALIE
MiddleName: EVELYN
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ANDREWS
OtherFirstName: NATALIE
OtherMiddleName: EVELYN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 406153
Address2:  
City: ATLANTA
State: GA
PostalCode: 303841876
CountryCode: US
TelephoneNumber: 5614788770
FaxNumber: 5616888877
Practice Location
Address1: 1503 S ORANGE AVE
Address2:  
City: ORLANDO
State: FL
PostalCode: 328062116
CountryCode: US
TelephoneNumber: 4078496520
FaxNumber: 4078496522
Other Information
ProviderEnumerationDate: 08/22/2008
LastUpdateDate: 05/05/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237700000X  Y Speech, Language and Hearing Service ProvidersHearing Instrument Specialist 

No ID Information.


Home