Provider Demographics
NPI:1639366594
Name:CORTEZ, VENESSA YVETTE (NURSE)
Entity Type:Individual
Prefix:MRS
First Name:VENESSA
Middle Name:YVETTE
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 SPRING BREEZE ST
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4514
Mailing Address - Country:US
Mailing Address - Phone:832-279-4843
Mailing Address - Fax:
Practice Address - Street 1:514 SPRING BREEZE ST
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4514
Practice Address - Country:US
Practice Address - Phone:832-279-4843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183586164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse