Basic Information
Provider Information | |||||||||
NPI: | 1770829418 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | PARIS | ||||||||
FirstName: | NATALIE | ||||||||
MiddleName: | JOAN | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | APRN | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1071 BLUE HILL AVE | ||||||||
Address2: |   | ||||||||
City: | MILTON | ||||||||
State: | MA | ||||||||
PostalCode: | 021862395 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6173332182 | ||||||||
FaxNumber: | 5083502314 | ||||||||
Practice Location | |||||||||
Address1: | 1071 BLUE HILL AVE | ||||||||
Address2: | CURRY COLLEGE HEALTH SERVICES | ||||||||
City: | MILTON | ||||||||
State: | MA | ||||||||
PostalCode: | 021860218 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6173332182 | ||||||||
FaxNumber: | 6173332029 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 12/28/2012 | ||||||||
LastUpdateDate: | 02/08/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 02/08/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | RN2277913 | MA | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.