Individual
TARA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
671 HIOAKS RD STE B, RICHMOND, VA 23225-4072
(804) 272-5814
(804) 560-0232
Mailing address
671 HIOAKS RD STE B, RICHMOND, VA 23225-4072
(804) 272-5814
(804) 560-0232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173814
VA
363LA2100X
Acute Care Nurse Practitioner
0024173814
VA
Other
Enumeration date
08/08/2016
Last updated
08/27/2025
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