Individual
MRS. DIANE M ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
2045 S VINEYARD, SUITE 136, MESA, AZ 85210-6889
(480) 565-5990
(623) 208-7666
Mailing address
3660 W BETHANY HOME RD, PHOENIX, AZ 85019-1953
(602) 973-3200
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
TAP3396
AZ
Other
Enumeration date
08/20/2009
Last updated
10/12/2016
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