Provider Demographics
NPI:1629525167
Name:ORTIZ, CAITLIN ELIZABETH (NP)
Entity Type:Individual
Prefix:MISS
First Name:CAITLIN
Middle Name:ELIZABETH
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 COLOMBA DR STE 2
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14305-1275
Mailing Address - Country:US
Mailing Address - Phone:716-501-5501
Mailing Address - Fax:716-229-4520
Practice Address - Street 1:1 COLOMBA DR STE 2
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-1275
Practice Address - Country:US
Practice Address - Phone:716-501-5501
Practice Address - Fax:716-215-6400
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF307905-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner