Individual
NATALYA KORNEYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP-C
Contact information
Practice address
2018 DEL PRADO BLVD S, CAPE CORAL, FL 33990-4562
(239) 574-8880
(844) 388-6186
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(727) 322-3439
(800) 928-7449
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11010850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
544583810
UNTIED STATES PASSPORT
—
01
—
AG11200040
AMERICAN ACADEMY OF NURSE PRACTITIONERS BOARD
—
01
—
APRN11010850
FLORIDA DEPARTMENT OF HEALTH
FL
01
—
K6516207554300
DRIVERS LICENSE
FL
Enumeration date
06/01/2021
Last updated
08/15/2022
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