Provider Demographics
NPI:1386422350
Name:CORTEZ, NEYSCHA ANAYZ
Entity type:Individual
Prefix:
First Name:NEYSCHA
Middle Name:ANAYZ
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5370 BOND AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44055-3949
Mailing Address - Country:US
Mailing Address - Phone:440-657-2636
Mailing Address - Fax:
Practice Address - Street 1:1537 LEHIGH AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-3369
Practice Address - Country:US
Practice Address - Phone:440-444-4650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker