| NPI | 1780288167 |
|---|---|
| Former Name | HEATHER ROSEANN ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0996135-NP) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2025-08-13 |