Individual
AMY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
052972
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3630358
—
TN
01
—
4031199
BCBS NUMBER
TN
05
—
74004490
—
KY
Enumeration date
07/21/2005
Last updated
02/10/2026
Update your record
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