Individual
MRS. EMILY MARIE ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 310-7975
Mailing address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 310-7975
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28187325A
IN
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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