| Doctor Name: | ERNESTO E. ORNELAS |
| NPI Number: | 1124031786 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 25639 |
| Business Practice Address: | 1208 6th Ave Superior, MT - 598729618 |
| Business Phone Number: | 4068224278 |
| Business Fax Number: | 4068224912 |
| Mailing Address: | 1208 6th Ave, P.o. Box 698 SUPERIOR |
| State: | MT |
| Postal Code: | 598729618 |
| Phone Number: | 4068224278 |
| Fax Number: | 4068224912 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 12/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 25639 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |