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NPI Code Detail

MEDICARE: DR. RENEE CORTEZ DNP, MSN, BSN, ACNP

MEDICARE: DR. RENEE CORTEZ DNP, MSN, BSN, ACNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse PractitionerF301855NY
2363LA2100XAcute Care Nurse PractitionerARNP9302490FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11770629768OTHERNYNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770629768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RENEE CORTEZ DNP, MSN, BSN, ACNP
Provider Business Mailing Address
First Line : 1238 FALLING STAR LN
Second Line :
City : ORLANDO
State : FL
Zip : 32828-7493
Country : US
Telephone Number : 914-473-8655
Fax Number :
Provider Business Practice Location Address
First Line : 1241 E DYER RD STE 145
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5694
Country : US
Telephone Number : 949-449-1112
Fax Number : 714-368-0843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 07/21/2022

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