Healthcare Provider Details

I. General information

NPI: 1013726827
Provider Name (Legal Business Name): NATHALIE MARIE AYES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 SW 93RD AVE STE 210
MIAMI FL
33173-3212
US

IV. Provider business mailing address

7300 SW 93RD AVE STE 210
MIAMI FL
33173-3212
US

V. Phone/Fax

Practice location:
  • Phone: 786-383-0173
  • Fax: 307-242-1124
Mailing address:
  • Phone: 786-383-0173
  • Fax: 307-242-1124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11035410
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11035410
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: