Individual
CIPRIANA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W LINCOLN AVE, GOSHEN, IN 46526-2413
(574) 533-7600
Mailing address
400 W LINCOLN AVE, GOSHEN, IN 46526-2413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28173421A
IN
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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