Provider Demographics
NPI:1710643176
Name:ORTIZ, RITA (CNM)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SW LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1515
Mailing Address - Country:US
Mailing Address - Phone:785-233-5101
Mailing Address - Fax:
Practice Address - Street 1:800 SW LINCOLN ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1515
Practice Address - Country:US
Practice Address - Phone:785-233-5101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-80669-021176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife