Provider Demographics
NPI:1174229298
Name:ORTEGA, CARYN F (FNP-C)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:F
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 PRESIDENTIAL WAY
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1128
Mailing Address - Country:US
Mailing Address - Phone:614-374-9248
Mailing Address - Fax:
Practice Address - Street 1:1725 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1699
Practice Address - Country:US
Practice Address - Phone:740-363-8171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.414890163W00000X
OHF01230939363LF0000X
OHAPRN.CNP.0033172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse