Provider Demographics
NPI:1467053827
Name:ORTEGA, RACHEL (CNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 N IRWIN RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-9745
Mailing Address - Country:US
Mailing Address - Phone:419-255-7883
Mailing Address - Fax:419-720-7895
Practice Address - Street 1:225 N IRWIN RD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-9745
Practice Address - Country:US
Practice Address - Phone:567-703-1263
Practice Address - Fax:419-720-7895
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0027729363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty