Individual
MISS ANISA J ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2625 W GIRARD AVE, PHILADELPHIA, PA 19130-1333
(267) 455-9230
(215) 358-1041
Mailing address
2901 MEREDITH PL, BENSALEM, PA 19020-2258
(267) 455-9230
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP023317
PA
363LG0600X
Gerontology Nurse Practitioner
26NJ01143200
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
SP023317
PA
Other
Enumeration date
03/01/2021
Last updated
04/01/2025
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