Becerra Ortiz, Ivette

Becerra Ortiz, Ivette is an individual health care provider with primary practice located at 374 Grand Avenue Fair Haven Community Health Ctr, New Haven CT 06513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Becerra Ortiz, Ivette can be contacted via phone (203) 777-7411.

Contact Information

Primary practice address
374 Grand Avenue Fair Haven Community Health Ctr New Haven CT 06513
Phone: (203) 777-7411
Fax: (203) 777-8506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 002875 Connecticut

Profile Details

NPI number 1033224670
LBN Legal business name Becerra Ortiz, Ivette
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033224670 NPPES
Other 0000221420102 UNITED HEALTHCARE
Other 330281 UNITED HEALTHCARE
Other P3598502 UNITED HEALTHCARE

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