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NPI Code Detail

MEDICARE: SARAH ORTEGA BSN, RN

MEDICARE: SARAH ORTEGA BSN, RN
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
1163WA0400XAddiction (Substance Use Disorder) Registered Nurse2525886MN

General Provider Information

NPI Number : 1124973219
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ORTEGA BSN, RN
Provider Business Mailing Address
First Line : 1213 E FRANKLIN AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-2923
Country : US
Telephone Number : 612-843-5945
Fax Number :
Provider Business Practice Location Address
First Line : 1213 E FRANKLIN AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-2923
Country : US
Telephone Number : 612-843-5945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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