Ortiz, Tristan M

Ortiz, Tristan M is an individual health care provider with primary practice located at 650 Edison Ave , Phila PA 19116-1237. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ortiz, Tristan M can be contacted via phone (215) 673-5700.

Contact Information

Primary practice address
650 Edison Ave Phila PA 19116-1237
Phone: (215) 673-5700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP016023 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 118967 West Virginia

Profile Details

NPI number 1265893747
LBN Legal business name Ortiz, Tristan M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2016
Last updated Oct 7th, 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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