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Individual
JOANNA ORTEGA ORTIZ
Active
Individual
JOANNA ORTEGA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PA-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001149229
VA
363A00000X
Physician Assistant
006095
GA
363A00000X
Physician Assistant
Primary
0110001370
VA
363A00000X
Physician Assistant
C0002889
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001149229
NURSING
VA
01
—
006095
PHYSICIAN ASSISTANT
GA
01
—
0110001370
PHYSICIAN ASSISTANT
VA
01
—
C0002889
PHYSICIAN ASSISTANT
MD
Enumeration date
02/14/2006
Last updated
09/26/2018
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