Doctor Name: | MRS. KAREN ORTOLANI |
NPI Number: | 1164770285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP |
License Number: | 0024170220 |
Business Practice Address: | 9300 Dewitt Loop Fbch River Pav, Second Floor Rm 2.426 Fort Belvoir, VA - 22060 |
Business Phone Number: | 5712311256 |
Business Fax Number: | |
Mailing Address: | 9300 Dewitt Loop, Fbch Tbi Clinic Second Floor River Pav FORT BELVOIR, |
State: | VA |
Postal Code: | 22060 |
Phone Number: | 5712311256 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2012 |
NPI Last Update Date: | 07/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 0024170220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |