Individual
MRS. NICOLE EDDY ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
80 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382-2527
(860) 848-1297
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5728
CT
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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