Individual
COURTNEY B. CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12400 N MERIDIAN STE 100, SUITE 500, INDIANAPOLIS, IN 46250
(317) 559-3320
Mailing address
12400 N MERIDIAN STE 100, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 559-3320
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71004263A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201151310
—
IN
01
—
28162939A
RN LICENSE
IN
01
—
71004263A
APN LICENSE
IN
05
—
71004263A
—
IN
01
—
COR1-0437-0895
NATIONAL CERTIFICATION CORPORATION - WHNP - BC
—
01
—
P01456971
MEDICARE RR
IN
Enumeration date
08/02/2012
Last updated
11/08/2019
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