Individual
FAITH A ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11357 MORTON CT, CROWN POINT, IN 46307-4200
(219) 712-0016
Mailing address
11357 MORTON CT, CROWN POINT, IN 46307-4200
(219) 712-0016
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
70000079A
IN
364S00000X
Clinical Nurse Specialist
70000079A
IN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
70000079A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200265500
—
IN
01
—
90000854
BCBSIL
IL
Enumeration date
09/23/2005
Last updated
12/27/2024
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