Individual
ELIA ASTRID ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
401 BICENTENNIAL WAY, SUITE330, SANTA ROSA, CA 95403-2149
(707) 571-3032
(707) 571-4660
Mailing address
401 BICENTENNIAL WAY, SUITE330, SANTA ROSA, CA 95403-2149
(707) 571-3032
(707) 571-4660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
198626
CA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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