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Alisa D. Ortega, NP
Pediatric Nurse Practitioner in Boise, Idaho
NPI 1811184492

Alisa D. Ortega is a Pediatric Nurse Practitioner based in Boise, ID and is specialized in Pediatrics. Alisa D. Ortega practices in Boise, ID and has the professional credentials of NP. The NPI Number for Alisa D. Ortega is 1811184492 and holds a License No. NP242A (Idaho).

The current practice location address for Alisa D. Ortega is 417 S 6Th St, Boise, ID and can be reached out via phone at 208-577-4460 and via fax at 208-577-4469.

Location: 417 S 6Th St, Boise, ID, 83712-6241
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Provider Profile Details
NPI Number
1811184492
Provider Name
Alisa D. Ortega
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
417 S 6Th St, Boise, ID, 83712-6241
Phone Number
208-577-4460
Fax Number
208-577-4469
Provider Enumeration Date
09/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D93724 01 UPIN
institution
Provider Business Practice Location Address Details
Address
417 S 6Th St
City
State
Zip
83702-7632
Phone Number
208-577-4460
Fax Number
208-577-4469
person
Provider Business Mailing Address Details
Address
417 S 6Th St
City
State
Zip
83702-7632
Phone Number
208-577-4460
Fax Number
208-577-4469
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
NP242A (Idaho)
Definition
Definition to come...
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