Individual
RACHEL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4120 N 108TH AVE # 120, PHOENIX, AZ 85037-5773
(602) 368-4868
(602) 358-8788
Mailing address
4120 N 108TH AVE STE 120, PHOENIX, AZ 85037-5773
(602) 368-4868
(602) 358-8788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AP9029
AZ
363L00000X
Nurse Practitioner
Primary
AP9029
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225588767
—
AZ
Enumeration date
10/07/2016
Last updated
09/17/2021
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