Individual provider · Type 1 NPI
Tatiana Portela, NP
Nurse Practitioner · Great Neck, NY
Practice location
560 Northern Blvd Ste 203
Great Neck, NY 11021-5113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1084853 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
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About NPI 1538569405
Tatiana Portela, NP's National Provider Identifier is 1538569405, issued on Aug 28, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Great Neck, NY. The record was last updated on Aug 17, 2026.