Ivette Becerra Ortiz APRN

NPI 1033224670 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1033224670
Gender Female
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
374 GRAND AVENUE
FAIR HAVEN COMMUNITY HEALTH CTR
NEW HAVEN CT, 06513, US
Phone (203) 777-7411
Fax (203) 777-8506
Business Location
275 WOLCOTT HILL ROAD
WEATHERSFIELD CT, 06109-2033, US
Phone (860) 436-4126
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Connecticut
License Number 002875
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According to our database, Ivette Becerra Ortiz APRN NPI is 1033224670, taxonomy code is 363LP0200X and license number is 002875, license state is located at Connecticut. Ivette Becerra Ortiz APRN physically located at 374 Grand Avenue, New Haven CT, 06513. NPI Number Ivette Becerra Ortiz APRN has the Individual type.

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1033224670 NPI number is provided on an as is basis without warranty of any kind. 1033224670 is maintained by the National Plan & Provider Enumeration System. The contents of Ivette Becerra Ortiz APRN are for informational purposes only.