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NPI Code Detail

MEDICARE: MRS. MAGDALYS ORTIZ AGCNS-BC

MEDICARE: MRS. MAGDALYS ORTIZ AGCNS-BC
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
1364SG0600XGerontology Clinical Nurse Specialist0024182307VA

General Provider Information

NPI Number : 1326501487
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAGDALYS ORTIZ AGCNS-BC
Provider Business Mailing Address
First Line : 1407 HODGES FERRY RD
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23701-1711
Country : US
Telephone Number : 757-300-8092
Fax Number :
Provider Business Practice Location Address
First Line : 1881 UNIVERSITY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8083
Country : US
Telephone Number : 757-683-4297
Fax Number : 757-683-5253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2019
Last Update Date : 01/30/2024

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