Healthcare Provider Details

I. General information

NPI: 1912282344
Provider Name (Legal Business Name): MONICA E ORTEGA CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2011
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 JEFFERSON ST NE STE C
ALBUQUERQUE NM
87109-4450
US

IV. Provider business mailing address

7007 JEFFERSON ST NE STE C
ALBUQUERQUE NM
87109-4450
US

V. Phone/Fax

Practice location:
  • Phone: 505-340-0406
  • Fax: 505-340-0405
Mailing address:
  • Phone: 505-340-0406
  • Fax: 505-340-0405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-01860
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: