Individual
MADELEINE R. ORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PCNS, CPNP
Contact information
Practice address
1 CHILDRENS PL, ROOM 10101, SAINT LOUIS, MO 63110-1002
(314) 454-4697
(314) 454-4562
Mailing address
1 CHILDRENS PL, 12TH FLOOR, SAINT LOUIS, MO 63110-1002
(314) 454-2747
(314) 454-4695
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2010035377
MO
364SP0200X
Pediatric Clinical Nurse Specialist
115411
MO
Other
Enumeration date
05/02/2007
Last updated
11/05/2021
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