Individual
NICOLE MARISA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
100 N ACADEMY AVE # MC26-20, DANVILLE, PA 17822-9800
(570) 214-2637
Mailing address
15 WESNER LN MC 24-80, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
10/19/2021
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