Provider Demographics
NPI:1740019587
Name:BORRERO - OJEDA, NATALIE MARIE (PHD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIE
Last Name:BORRERO - OJEDA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5582 SIX MILE COMMERCIAL CT APT 207
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4506
Mailing Address - Country:US
Mailing Address - Phone:939-244-5194
Mailing Address - Fax:
Practice Address - Street 1:5582 SIX MILE COMMERCIAL CT APT 207
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4506
Practice Address - Country:US
Practice Address - Phone:939-244-5194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program