Individual
SHYLA ORTIVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1302 E 5TH ST, PUEBLO, CO 81001-3754
(719) 543-8711
(719) 585-3057
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 585-3057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0196438
CO
Other
Enumeration date
05/06/2020
Last updated
11/27/2023
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