Ivette Becerra Ortiz, APRN
Nurse Practitioner, Pediatrics in New Haven, Connecticut
1033224670- Practice location
- 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513
- Phone
- 203-777-7411
- Fax
- 203-777-8506
- Last updated
- July 8, 2007
Ivette Becerra Ortiz is a Nurse Practitioner, Pediatrics based in New Haven, CT. 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 (CT). The current practice location address for Ivette Becerra Ortiz is 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 and can be reached out via phone at 203-777-7411 and via fax at 203-777-8506.
Provider Profile Details
- NPI Number
- 1033224670
- Provider Name
- Ivette Becerra Ortiz
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513
- Phone Number
- 203-777-7411
- Fax Number
- 203-777-8506
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 21, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 374 Grand Avenue
Fair Haven Community Health Ctr
New Haven, CT 06513 - City
- New Haven
- State
- Connecticut
- Zip
- 06513
- Phone Number
- 203-777-7411
- Fax Number
- 203-777-8506
Provider Business Mailing Address Details
- Address
- 275 Wolcott Hill Road
Weathersfield, CT 06109-2033 - City
- Weathersfield
- State
- CT
- Zip
- 06109-2033
- Phone Number
- 860-436-4126
License Information
- License Number
- 002875
- License State
- CT
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ivette Becerra Ortiz, APRN?
The NPI number of Ivette Becerra Ortiz, APRN is 1033224670. It was assigned on August 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Ivette Becerra Ortiz, APRN?
Ivette Becerra Ortiz, APRN is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 002875.
Where does Ivette Becerra Ortiz, APRN practice?
The practice location is 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513. The office can be reached at 203-777-7411 (phone) or 203-777-8506 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033224670 directly on the NPPES registry website.