MEDICARE: GUADALUPE ORTEGA APRN,ACNP-BC, FNP-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
1	363LF0000X	Family Nurse Practitioner	AP11664	AZ
2	363LA2100X	Acute Care Nurse Practitioner	AP7697	AZ

General Provider Information

NPI Number	:	1639539513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUADALUPE ORTEGA APRN,ACNP-BC, FNP-BC

Provider Business Mailing Address
First Line	:	244 CAMINO CHOLULA
Second Line	:
City	:	RIO RICO
State	:	AZ
Zip	:	85648-1029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-1454
Country	:	US
Telephone Number	:	520-694-8888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2016
Last Update Date	:	04/14/2026

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