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NPI Code Detail

MEDICARE: NATALIE DANIELLE ORTIZ

MEDICARE: NATALIE DANIELLE ORTIZ
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
1183500000XPharmacist74537TX
2183500000XPharmacist34266NC

General Provider Information

NPI Number : 1699507632
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE DANIELLE ORTIZ
Provider Business Mailing Address
First Line : 4711 NEW CENTRE DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-3442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4711 NEW CENTRE DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-3442
Country : US
Telephone Number : 910-395-0749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2024
Last Update Date : 03/17/2026

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Directions to “ NATALIE DANIELLE ORTIZ ” Practice Location

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