Provider Demographics
NPI:1568289460
Name:ORTIZ, JAMIE RAZIANO (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:RAZIANO
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PLATT ST
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1075
Mailing Address - Country:US
Mailing Address - Phone:504-615-4460
Mailing Address - Fax:
Practice Address - Street 1:16 PLATT ST
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-1075
Practice Address - Country:US
Practice Address - Phone:504-615-4460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA125208163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant