Individual provider · Type 1 NPI

Alisa D. Ortega, NP

Pediatric Nurse Practitioner · Boise, ID

NPI number 1811184492 Active

Practice location

417 S 6th St
Boise, ID 83702-7632

Fax (208) 577-4469

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNP242A (ID)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1811184492

Alisa D. Ortega, NP's National Provider Identifier is 1811184492, issued on Sep 27, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boise, ID. The record was last updated on Oct 6, 2012.