Healthcare Provider Details

I. General information

NPI: 1407788383
Provider Name (Legal Business Name): NATALIA MARIA SAAVEDRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PROSPECT AVE
HACKENSACK NJ
07601-1915
US

IV. Provider business mailing address

150 RIVER ST APT 442
HACKENSACK NJ
07601-7398
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-2437
  • Fax:
Mailing address:
  • Phone: 561-306-7173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR25156200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: