Doctor Name: | MRS. WENDY RENEE ORTIZ |
NPI Number: | 1003965203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | 1604 |
Business Practice Address: | 10359 Federal Blvd Suite 210 Westminster, CO - 802607452 |
Business Phone Number: | 3034040200 |
Business Fax Number: | 3034042828 |
Mailing Address: | 10359 N Federal Boulevard, Suite 210 WESTMINSTER |
State: | CO |
Postal Code: | 802607453 |
Phone Number: | 3032891928 |
Fax Number: | 3034042828 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 01/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |