Individual
MRS. NICOLE GUNDERSON ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1515 RIVER RD, JEFFERSON, LA 70121-4227
(504) 842-4275
Mailing address
2100 SANDRA AVE, METAIRIE, LA 70003-3655
(504) 669-3743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209725
LA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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