Individual
ELISA ORTEGA-ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
204 E BEACH ST, WATSONVILLE, CA 95076-4809
(831) 728-0222
Mailing address
PO BOX 1870, WATSONVILLE, CA 95077-1870
(831) 728-0222
(831) 707-2777
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95015278
CA
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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