Emma Guadalupe Cortez
Individual provider Active NPI Nurse's Aide · Polacca, AZ
NPI 1295348787 · NPPES record last updated Aug 25, 2020
Key facts
- NPI
- 1295348787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- Hopi Health Care
Hwy 264 MP 388
Polacca, AZ 86042 - Phone
- (928) 737-6000
- Fax
- (928) 737-6005
- NPI assigned
- Aug 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
Hopi Health Care
Hwy 264 MP 388
Polacca, AZ 86042
Mailing address
Hopi Health Care
Hwy 264 MP 388
Polacca, AZ 86042
Phone (928) 737-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020529 | Medicaid | AZ |
Other providers in Polacca, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.