Healthcare Provider Details

I. General information

NPI: 1396665816
Provider Name (Legal Business Name): NATALIA URIBE APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4710 N HABANA AVE
TAMPA FL
33614-7161
US

IV. Provider business mailing address

2016 E ROBSON ST
TAMPA FL
33610-1072
US

V. Phone/Fax

Practice location:
  • Phone: 813-874-2000
  • Fax:
Mailing address:
  • Phone: 954-253-3654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049072
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: