Provider Demographics
NPI:1417916123
Name:ALEMAN ORTEGA, HEIDI (CRNA)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:ALEMAN ORTEGA
Suffix:
Gender:F
Credentials:CRNA
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3601 W COMMERCIAL BLVD
Mailing Address - Street 2:ANESCO NORTH BROWARD LLC STE 5
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309
Mailing Address - Country:US
Mailing Address - Phone:954-485-5666
Mailing Address - Fax:954-484-1651
Practice Address - Street 1:3601 W COMMERCIAL BLVD
Practice Address - Street 2:ANESCO NORTH BROWARD LLC STE 5
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309
Practice Address - Country:US
Practice Address - Phone:954-485-5666
Practice Address - Fax:954-484-1651
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2522572367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL301579300Medicaid
FLS19476Medicare UPIN
FLG1933XMedicare ID - Type UnspecifiedFOR ANESCO CENTRAL LLC
FL301579300Medicaid