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Ivette Becerra Ortiz, APRN
Pediatric Nurse Practitioner in New Haven, Connecticut
NPI 1033224670

Ivette Becerra Ortiz is a Pediatric Nurse Practitioner based in Weathersfield, CT and is specialized in Pediatrics. Ivette Becerra Ortiz practices in New Haven, CT and has the professional credentials of APRN. The NPI Number for Ivette Becerra Ortiz is 1033224670 and holds a License No. 002875 (Connecticut).

The current practice location address for Ivette Becerra Ortiz is 374 Grand Avenue, New Haven, CT and can be reached out via phone at 203-777-7411 and via fax at 203-777-8506.

Location: 374 Grand Avenue, New Haven, CT, 06109-2033
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Provider Profile Details
NPI Number
1033224670
Provider Name
Ivette Becerra Ortiz
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
374 Grand Avenue, New Haven, CT, 06109-2033
Phone Number
203-777-7411
Fax Number
203-777-8506
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000221420102 01 UNITED HEALTHCARE
330281 01 WELLCARE
P3598502 01 OXFORD
institution
Provider Business Practice Location Address Details
Address
374 Grand Avenue
City
State
Zip
06513
Phone Number
203-777-7411
Fax Number
203-777-8506
person
Provider Business Mailing Address Details
Address
374 Grand Avenue
City
State
Zip
06513
Phone Number
203-777-7411
Fax Number
203-777-8506
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
002875 (Connecticut)
Definition
Definition to come...
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