Individual
ANDRIA ELIZABETH ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 222-9779
(816) 312-4380
Mailing address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 222-9779
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2023006108
MO
Other
Enumeration date
11/12/2021
Last updated
08/08/2023
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