Individual
TIFFANY ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6501 4TH ST NW STE D, LOS RANCHOS, NM 87107-5800
(505) 431-0412
(505) 214-5872
Mailing address
6501 4TH ST NW STE D, LOS RANCHOS, NM 87107-5800
(505) 431-0412
(505) 214-5872
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-89561
NM
363L00000X
Nurse Practitioner
Primary
73995
NM
Other
Enumeration date
06/09/2023
Last updated
03/11/2026
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