Provider Demographics
NPI:1053698407
Name:LOVING, NATASHA L (CRNP)
Entity type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:L
Last Name:LOVING
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4554 HIDDEN STREAM CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4837
Mailing Address - Country:US
Mailing Address - Phone:443-373-6081
Mailing Address - Fax:
Practice Address - Street 1:4554 HIDDEN STREAM CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4837
Practice Address - Country:US
Practice Address - Phone:443-373-6081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR166662363LF0000X
MD4491661744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No1744P3200XOther Service ProvidersSpecialistProsthetics Case Management