Provider Demographics
NPI:1407138829
Name:WHITE-ORTEGA, RAMONA (PDCLD, AZDHS DOULA)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:WHITE-ORTEGA
Suffix:
Gender:F
Credentials:PDCLD, AZDHS DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4283 N LIMBERLOST PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-1625
Mailing Address - Country:US
Mailing Address - Phone:520-631-5064
Mailing Address - Fax:
Practice Address - Street 1:4283 N LIMBERLOST PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1625
Practice Address - Country:US
Practice Address - Phone:520-631-5064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171W00000X
AZDOU201374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No171W00000XOther Service ProvidersContractor