Individual
HOLLIE BRONSON ORTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13489 HIGHWAY 431 STE A, SAINT AMANT, LA 70774-3213
(225) 765-5500
(225) 644-2280
Mailing address
2647 S SAINT ELIZABETH BLVD, GONZALES, LA 70737-5021
(225) 647-8511
(225) 644-5213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1925
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1362824
—
LA
Enumeration date
07/31/2008
Last updated
10/24/2023
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