Individual
KAYLA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
525 W RIVER WOODS PKWY STE 130, GLENDALE, WI 53212-1010
(414) 961-0304
Mailing address
8632 N 52ND ST, BROWN DEER, WI 53223-3051
(850) 781-2096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16462-33
WI
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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