Provider Demographics
NPI:1548529860
Name:ORTEGA, CHRISTINA
Entity type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 PESCADOS DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-1360
Mailing Address - Country:US
Mailing Address - Phone:702-301-5718
Mailing Address - Fax:
Practice Address - Street 1:831 PESCADOS DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1360
Practice Address - Country:US
Practice Address - Phone:702-301-5718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1701426301172A00000X, 372500000X, 372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No172A00000XOther Service ProvidersDriver
No372600000XNursing Service Related ProvidersAdult Companion