Healthcare Provider Details

I. General information

NPI: 1568428373
Provider Name (Legal Business Name): TINA LOUISE ORTIZ CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: TINA LOUISE NAWROCKI

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE NATIONAL NAVAL MEDICAL CENTER
BETHESDA MD
20889
US

IV. Provider business mailing address

6464 SUTCLIFFE DRIVE
ALEXANDRIA VA
22315
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-5200
  • Fax: 301-295-5928
Mailing address:
  • Phone: 703-971-4989
  • Fax: 202-762-1705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN150332NP
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN1004813ARNP
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP2168922
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: