Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nataccia Henry

Individual provider Acute Care Nurse Practitioner · NPI 1720693450

Nataccia Henry is a Nurse Practitioner in Cutler Bay, Florida. Qualified in 2020, 6 years ago. Practices with South Broward Hospital District, a 665-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

21929 SW 93rd Pl
Cutler Bay, FL 33190-1231
Phone: (786) 762-6931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 11008136 (FL)

Record details

NPI number1720693450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 10, 2020
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020
Mailing address21929 Sw 93rd Pl, Cutler Bay, FL 33190-1231

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice South Broward Hospital District — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cutler Bay