Individual
BRIANNA IRAIDA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
309 STILLSON RD, FAIRFIELD, CT 06825-3213
(203) 331-1924
Mailing address
38 OLD KILN RD, NORTH HAVEN, CT 06473-2424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10.161844
CT
363L00000X
Nurse Practitioner
Primary
12.012709
CT
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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