Healthcare Provider Details

I. General information

NPI: 1194022533
Provider Name (Legal Business Name): ERIN EMPTING ORTIZ N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN ELIZABETH EMPTING N.P.

II. Dates (important events)

Enumeration Date: 02/22/2011
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 NEW COVINGTON PIKE 130
MEMPHIS TN
38128-2591
US

IV. Provider business mailing address

3950 NEW COVINGTON PIKE 130
MEMPHIS TN
38128-2591
US

V. Phone/Fax

Practice location:
  • Phone: 901-388-0404
  • Fax:
Mailing address:
  • Phone: 901-388-0404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberEMP1-0435-6945
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0814705
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: