Individual provider · Type 1 NPI
Orestes Roman Ortega, NURSE PRACTITIONER
Family Nurse Practitioner · Mesa, AZ
NPI number
1689352767
Active
Practice location
3130 E Baseline Rd Ste 105
Mesa, AZ 85204-7290
Fax (480) 497-5934
Mailing address
2031 W Dixon St
Mesa, AZ 85201-4416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 245660 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | TEMP245660 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689352767
Orestes Roman Ortega, NURSE PRACTITIONER's National Provider Identifier is 1689352767, issued on Jul 7, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesa, AZ. The record was last updated on Jul 26, 2023.