Provider Demographics
NPI:1427778265
Name:TRUJILLO-ORTEGA, ARIANA TAYLOR (FNP-C)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:TAYLOR
Last Name:TRUJILLO-ORTEGA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 ROCK CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-3449
Mailing Address - Country:US
Mailing Address - Phone:678-761-2740
Mailing Address - Fax:
Practice Address - Street 1:411 ROCK CREEK DR
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-3449
Practice Address - Country:US
Practice Address - Phone:678-761-2740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN268387363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily