Provider Demographics
NPI:1073300984
Name:RINCON, NATALIE ANNE (CHW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANNE
Last Name:RINCON
Suffix:
Gender:
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 LIPES BLVD APT 1404
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-7016
Mailing Address - Country:US
Mailing Address - Phone:361-728-6682
Mailing Address - Fax:
Practice Address - Street 1:7001 LIPES BLVD APT 1404
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-7016
Practice Address - Country:US
Practice Address - Phone:361-728-6682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17862172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker