Ort, Heather

Ort, Heather is an individual health care provider with primary practice located at 5215 Holy Cross Pkwy , Mishawaka IN 46545-1469. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ort, Heather can be contacted via phone (574) 335-5000.

Contact Information

Primary practice address
5215 Holy Cross Pkwy Mishawaka IN 46545-1469
Phone: (574) 335-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 28147370A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71007551A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71007551A Indiana

Profile Details

NPI number 1093252504
LBN Legal business name Ort, Heather
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2017
Last updated Feb 7th, 2024 - about 9 months 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 1093252504 NPPES
Indiana MEDICAID 300007014

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