Provider Demographics
NPI:1821361114
Name:CABRERA, NATALI CRISTINA (FNP-BC)
Entity type:Individual
Prefix:
First Name:NATALI
Middle Name:CRISTINA
Last Name:CABRERA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 STATE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-2906
Mailing Address - Country:US
Mailing Address - Phone:617-505-1520
Mailing Address - Fax:617-928-8401
Practice Address - Street 1:109 STATE ST STE 5
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-2906
Practice Address - Country:US
Practice Address - Phone:617-505-1520
Practice Address - Fax:617-928-8401
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5016486363L00000X
FLAPRN11035530363L00000X
IN71016077A363L00000X
OH0037808363L00000X
MARN2264830363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner