Healthcare Provider Details

I. General information

NPI: 1982521407
Provider Name (Legal Business Name): NATALIA A CORTES MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 APPALACHIAN TRL
ST JOHNS FL
32259-9533
US

IV. Provider business mailing address

86 APPALACHIAN TRL
ST JOHNS FL
32259-9533
US

V. Phone/Fax

Practice location:
  • Phone: 904-343-9734
  • Fax:
Mailing address:
  • Phone: 904-343-9734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number691078
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: