Provider Demographics
NPI:1508534231
Name:ORTIZ-BERNAL, LAURA (DNP, APN, FNP-C)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ORTIZ-BERNAL
Suffix:
Gender:F
Credentials:DNP, APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 JAYDEN RD
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-4298
Mailing Address - Country:US
Mailing Address - Phone:732-804-4914
Mailing Address - Fax:
Practice Address - Street 1:300 NJ-18
Practice Address - Street 2:SUITE 329
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:07751
Practice Address - Country:US
Practice Address - Phone:732-436-9016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR18508000363LF0000X
NJ26NJ01191100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily