Individual
ERICA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11335 KELLY DR, SAINT JOHN, IN 46373-9268
(219) 378-8872
Mailing address
11335 KELLY DR, SAINT JOHN, IN 46373-9268
(219) 378-8872
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041438439
IN
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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