Back, Natalie Lisa

Back, Natalie Lisa is an individual health care provider with primary practice located at 306 W Main St Ste 512 , Frankfort KY 40601-1840. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Back, Natalie Lisa can be contacted via phone (574) 546-1900.

Contact Information

Primary practice address
306 W Main St Ste 512 Frankfort KY 40601-1840
Phone: (574) 546-1900
Fax: (574) 546-1999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3004334 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004334 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3004334 Kentucky

Profile Details

NPI number 1023262540
LBN Legal business name Back, Natalie Lisa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2008
Last updated Jan 31st, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023262540 NPPES
Kentucky MEDICAID 7100108660

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