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NPI Code Detail

MEDICARE: AMY ORTIZ CRNA

MEDICARE: AMY ORTIZ CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist052972TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24031199OTHERTNBCBS NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053310961
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY ORTIZ CRNA
Provider Business Mailing Address
First Line : 2203 GRANDBURY WAY
Second Line :
City : GERMANTOWN
State : TN
Zip : 38139-3559
Country : US
Telephone Number : 615-327-4304
Fax Number :
Provider Business Practice Location Address
First Line : 110 29TH AVE N
Second Line : STE 202
City : NASHVILLE
State : TN
Zip : 37203-1401
Country : US
Telephone Number : 615-327-4304
Fax Number : 615-327-7940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 02/10/2026

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Directions to “ AMY ORTIZ CRNA” Practice Location

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