Grevelink, Natalie

Grevelink, Natalie is an individual health care provider with primary practice located at 1526 Ute Blvd Ste 104 , Park City UT 84098-7575. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Grevelink, Natalie can be contacted via phone (435) 602-1918.

Contact Information

Primary practice address
1526 Ute Blvd Ste 104 Park City UT 84098-7575
Phone: (435) 602-1918
Fax: (435) 731-8109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12779730-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X AP1948 Massachusetts

Profile Details

NPI number 1407060908
LBN Legal business name Grevelink, Natalie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Aug 7th, 2023 - about last year

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 1407060908 NPPES
Utah Other 12779750-1206 STATE LICENSE

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