Natalie Rose Burdick, PA-C
Individual provider Active NPI Physician Assistant · Baxter, MN
NPI 1417364258 · NPPES record last updated May 10, 2018
Key facts
- NPI
- 1417364258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 11687 (MN)
- Practice address
- 13060 Isle Dr
Baxter, MN 56425-8331 - Phone
- (218) 828-2880
- NPI assigned
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2118 | MN | MD | Clinical Psychologist |
| 11687 | MN | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11687 | MN | Yes |
Addresses
Primary practice location
13060 Isle Dr
Baxter, MN 56425-8331
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Other providers in Baxter, MN
- Alexandra Brucker
- Amy Lynn Buchite
- Jordan Charles Buckles
- Jenifer Budnick
- Adam Dean Bunte
- Madison Rae Burtsfield
- Laura Ann Bye
- Taylor J Cadwell
- Randy Thomas Capelle
- Marc Anthony Carley
All providers in Baxter, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.