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Contact Information

MARIO R ORTIZ, PHD; PHCNS-BC, FNP-C
1700 MISHAWAKA AVE # SAC-130
HEALTH & WELLNESS CENTER, IU SOUTH BEND
SOUTH BEND, IN46615-1408
 Phone: 574-520-5557
 Fax: 574-520-5042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health/Public Health

364SC1501X 89 Certified Clinical Nurse Specialist
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARIO R ORTIZ · (Male)

NPI Number 1265826226
Status Active
Credentials PHD; PHCNS-BC, FNP-C
Entity Individual
Enumeration date 03/26/2015
Last updated 07/30/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 71005395A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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