Individual
DR. NICOLETTE ALYSE CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1609 E BARNETT RD, MEDFORD, OR 97504-8284
(541) 450-9792
Mailing address
1609 E BARNETT RD, MEDFORD, OR 97504-8284
(541) 450-9792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0995301
CO
363L00000X
Nurse Practitioner
Primary
202213227NP
OR
363LA2100X
Acute Care Nurse Practitioner
202213227
OR
Other
Enumeration date
01/29/2020
Last updated
03/03/2024
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