Ortega, Alisa D.

Ortega, Alisa D. is an individual health care provider with primary practice located at 417 S 6Th St , Boise ID 83702-7632. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ortega, Alisa D. can be contacted via phone (208) 577-4460.

Contact Information

Primary practice address
417 S 6Th St Boise ID 83702-7632
Phone: (208) 577-4460
Fax: (208) 577-4469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP242A Idaho

Profile Details

NPI number 1811184492
LBN Legal business name Ortega, Alisa D.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Oct 6th, 2012 - about 13 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 1811184492 NPPES
Other D93724 UPIN

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