Orta, Kimberly Ann

Orta, Kimberly Ann is an individual health care provider with primary practice located at 824 Pine St , Mount Shasta CA 96067-2137. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Orta, Kimberly Ann can be contacted via phone (530) 926-4528.

Contact Information

Primary practice address
824 Pine St Mount Shasta CA 96067-2137
Phone: (530) 926-4528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 604263 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201705838NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95007009 California

Profile Details

NPI number 1942574488
LBN Legal business name Orta, Kimberly Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2012
Last updated Apr 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942574488 NPPES
Oregon Other 1487696985 CURRY GENERAL HOSPITAL'S NPI
Oregon MEDICAID 500730808 CURRY GENERAL HOSPITAL'S NPI
Oregon Other 1083656367 CURRY GENERAL HOSPITAL'S NPI

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