Doctor Name: | MADELINE KAYE CORTEZ |
NPI Number: | 1184057788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN FNP-C |
License Number: | 601651 |
Business Practice Address: | 1101 Hillcrest Dr Suite B Woodward, OK - 738013027 |
Business Phone Number: | 5802562457 |
Business Fax Number: | |
Mailing Address: | 1810 Kansas Ave, WOODWARD |
State: | OK |
Postal Code: | 738012912 |
Phone Number: | 5802563174 |
Fax Number: | 5802563502 |
NPI Enumeration Date: | 08/19/2013 |
NPI Last Update Date: | 09/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 601651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |