Healthcare Provider Details

I. General information

NPI: 1275390700
Provider Name (Legal Business Name): NATALIA CUARTAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2024
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16310 CROFT DR APT 221
CHARLOTTE NC
28269-0563
US

IV. Provider business mailing address

420 COPPERFIELD BLVD NE
CONCORD NC
28025-2404
US

V. Phone/Fax

Practice location:
  • Phone: 225-614-6557
  • Fax:
Mailing address:
  • Phone: 704-706-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: