Individual
NATHALIA ANDREA GAVIRIA-CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9135 SW BARNES RD STE 461, PORTLAND, OR 97225-6643
(503) 216-1150
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10047689
OR
363LF0000X
Family Nurse Practitioner
234345
AZ
363LF0000X
Family Nurse Practitioner
APRN11000530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606645
—
AZ
Enumeration date
12/16/2018
Last updated
09/10/2025
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