Provider Demographics
NPI:1013726827
Name:AYES, NATHALIE MARIE (APRN)
Entity type:Individual
Prefix:
First Name:NATHALIE
Middle Name:MARIE
Last Name:AYES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 SW 93RD AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3212
Mailing Address - Country:US
Mailing Address - Phone:786-383-0173
Mailing Address - Fax:307-242-1124
Practice Address - Street 1:7300 SW 93RD AVE STE 210
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3212
Practice Address - Country:US
Practice Address - Phone:786-383-0173
Practice Address - Fax:307-242-1124
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11035410363LF0000X
FL11035410363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty