Provider Demographics
NPI:1538793161
Name:CORTEZ, TOREY SHAY (MSN, APRN, NNP-BC)
Entity type:Individual
Prefix:MRS
First Name:TOREY
Middle Name:SHAY
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:MSN, APRN, NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762 ANNETTE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-4562
Mailing Address - Country:US
Mailing Address - Phone:817-925-8655
Mailing Address - Fax:
Practice Address - Street 1:762 ANNETTE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76108-4562
Practice Address - Country:US
Practice Address - Phone:817-925-8655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141492363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care