| Doctor Name: | SARA ORTU |
| NPI Number: | 1104233899 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0024171828 |
| Business Practice Address: | 11458 Kings Hwy King George, VA - 224854200 |
| Business Phone Number: | 8663892727 |
| Business Fax Number: | 4016529787 |
| Mailing Address: | 7620 Regency Glen Dr, FREDERICKSBURG |
| State: | VA |
| Postal Code: | 224070732 |
| Phone Number: | 9734625321 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2014 |
| NPI Last Update Date: | 07/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024171828 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |