1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Nurse Practitioner
  6. NPI Profile

EVANGELINE DATU CORDOVA APRN
NPI 1710733258
Nurse Practitioner - Gerontology in Miami, FL

Active since April 25, 2024
16235 SW 103RD TER, MIAMI, FL 33196(305) 492-2022 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evangeline Datu Cordova Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANGELINE DATU CORDOVA APRN (NPI 1710733258) is an individual gerontology provider in Miami, Florida, licensed in Florida (11031148) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1710733258
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameEVANGELINE DATU CORDOVACredential: APRN
Location Address16235 SW 103RD TERMiami, FL 33196-4903
Mailing Address16235 Sw 103rd TerMiami, FL 33196-4903 · (305) 492-2022
Phone(305) 492-2022
Sole ProprietorYes
Enumeration DateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1710733258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · 11031148
16235 SW 103RD TER, Miami, FL 33196
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evangeline Cordova's NPI number?

The NPI number for Evangeline Cordova is 1710733258. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Evangeline Cordova located?

Evangeline Cordova practices at 16235 SW 103rd Ter, Miami, FL 33196. The listed phone number is (305) 492-2022.

What is Evangeline Cordova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Evangeline Cordova was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.