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Individual

TAMMY ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP, ACNPC-AG

Contact information

Practice address
3975 FAIR RIDGE DR STE S125, FAIRFAX, VA 22033-2924
(703) 259-8423
Mailing address
3975 FAIR RIDGE DR STE S125, FAIRFAX, VA 22033-2924

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
80213
NM
363LA2100X
Acute Care Nurse Practitioner
Primary
80213
NM

Other

Enumeration date
08/01/2024
Last updated
08/20/2025
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