Ortega, Carissa Rhea

Ortega, Carissa Rhea is an individual health care provider with primary practice located at 1200 Childrens Ave Ste 2F , Oklahoma City OK 73104-4637. 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, Carissa Rhea can be contacted via phone (405) 271-4411.

Contact Information

Primary practice address
1200 Childrens Ave Ste 2F Oklahoma City OK 73104-4637
Phone: (405) 271-4411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 94568 Oklahoma

Profile Details

NPI number 1760922678
LBN Legal business name Ortega, Carissa Rhea
Credentials MSN, APRN, CPNP-AC/P
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2017
Last updated Mar 11th, 2024 - about 2 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 1760922678 NPPES
Oklahoma MEDICAID 200700860B

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