Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 5409 | CO |
N | 111NN0400X | Neurology | 7839 | TX |
NPI | 1194938464 |
---|---|
Provider Name | Dr. Natalie Joy Engelbart |
First Address | Boulder, CO 80301-6201 |
Second Address | Boulder, CO 80301-6201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 22/05/2013 |