Provider Demographics
NPI:1235880873
Name:CORTEZ, NATALIA
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:CORTEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 ALTA DR STE B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-3940
Mailing Address - Country:US
Mailing Address - Phone:702-685-3418
Mailing Address - Fax:
Practice Address - Street 1:1701 W CHARLESTON BLVD STE 300
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2313
Practice Address - Country:US
Practice Address - Phone:702-251-8000
Practice Address - Fax:702-471-0120
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2025-02-18
Deactivation Date:2024-06-26
Deactivation Code:
Reactivation Date:2024-07-24
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
NVIC-25131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant