ALISA D. ORTEGA

BOISE, ID
NPI1811184492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: ID  NP242A)
Enumeration Date2007-09-27
Last Update Date2012-10-06
Business Address
-- ALISA D. ORTEGA NP
417 S 6TH ST
BOISE, ID 83702-7632
Phone number: 208-577-4460
Mailing Address
-- ALISA D. ORTEGA NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222