Individual
JACQUELINE ORTIZ-SKENDERIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12 N MAIN ST STE 110, WEST HARTFORD, CT 06107-1932
(860) 337-9800
(860) 263-7329
Mailing address
12 N MAIN ST STE 110, WEST HARTFORD, CT 06107-1932
(860) 337-9800
(860) 263-7329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
005364
CT
363LF0000X
Family Nurse Practitioner
Primary
5364
CT
Other
Enumeration date
07/02/2013
Last updated
08/13/2021
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