Individual
COURTNEY A ROTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.N., N.P.
Contact information
Practice address
26800 CROWN VALLEY PKWY STE 120, MISSION VIEJO, CA 92691-8033
(949) 364-3388
Mailing address
10 WAVERLY PL, LADERA RANCH, CA 92694-0220
(801) 822-1328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
763952
CA
363L00000X
Nurse Practitioner
Primary
95011283
CA
363LP0200X
Pediatric Nurse Practitioner
95011283
CA
Other
Enumeration date
09/16/2011
Last updated
11/10/2021
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