Individual
ALLYSE MARIE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, AGACNP, RN
Contact information
Practice address
844 WATERBURY FALLS DR STE B, O FALLON, MO 63368-2208
(636) 385-5556
(636) 614-2093
Mailing address
844 WATERBURY FALLS DR STE B, O FALLON, MO 63368-2208
(636) 385-5556
(636) 614-2093
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
2010020396
MO
363LA2100X
Acute Care Nurse Practitioner
2023000801
MO
363LF0000X
Family Nurse Practitioner
Primary
2017001487
MO
Other
Enumeration date
12/30/2016
Last updated
01/27/2026
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