Individual
NICOLE ANN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5438 N LONG ISLAND DR, APT.2, UPPER, MILWAUKEE, WI 53209-5052
(414) 446-5097
Mailing address
5438 N LONG ISLAND DR, APT.2, UPPER, MILWAUKEE, WI 53209-5052
(414) 446-5097
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311843031
WI
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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