Individual
BRIANNE MARIE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1843 LEXINGTON DR, CORONA, CA 92880-1283
(951) 858-5616
Mailing address
1843 LEXINGTON DR, CORONA, CA 92878-3683
(951) 858-5616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015051
CA
Other
Enumeration date
07/29/2020
Last updated
03/09/2022
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