Mario Remedios Ortiz, PHD; PHCNS-BC, FNP-C

NPI #1265826226 in South Bend, Indiana

Provider Information

NPI Number: 1265826226
Entity Type: Individual
Name: Mario Remedios Ortiz, PHD; PHCNS-BC, FNP-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinical Nurse Specialist - Community Health/Public Health
Credential: PHD; PHCNS-BC, FNP-C
Enumeration Date: Mar 26, 2015
Last Updated: Jul 30, 2015

Practice Location

Address: 1700 MISHAWAKA AVE # SAC-130
Address 2: HEALTH & WELLNESS CENTER, IU SOUTH BEND
City: South Bend
State: Indiana
ZIP Code: 46615-1408
Phone: (574) 520-5557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Clinical Nurse Specialist - Community Health/Public Health — Community Health/Public Health	364SC1501X	Primary

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