MEDICARE: NATALI GUEVARA AGNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	APRN11040557	FL

General Provider Information

NPI Number	:	1376433011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALI GUEVARA AGNP-C

Provider Business Mailing Address
First Line	:	4381 SW 164TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5294
Country	:	US
Telephone Number	:	305-490-4046
Fax Number	:

Provider Business Practice Location Address
First Line	:	4381 SW 164TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5294
Country	:	US
Telephone Number	:	305-490-4046
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2025
Last Update Date	:	07/05/2025

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