Basic Information
Provider Information
NPI: 1497271084
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WALD
FirstName: NATALIE
MiddleName: ELIZABETH
NamePrefix: MS.
NameSuffix:  
Credential: APRN, AGCNS-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 333 COMMERCE ST STE 700
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372011835
CountryCode: US
TelephoneNumber: 5127657092
FaxNumber: 8557375542
Practice Location
Address1: 5444 WESTHEIMER RD STE 1000
Address2:  
City: HOUSTON
State: TX
PostalCode: 770565318
CountryCode: US
TelephoneNumber: 5127657092
FaxNumber: 8557375542
Other Information
ProviderEnumerationDate: 08/16/2017
LastUpdateDate: 10/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SA2200XAP134734TXN Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
364SG0600XAP134734TXY Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology

No ID Information.


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