Ivette Becerra Ortiz, APRN Valid NPI
Individual provider · Pediatric Nurse Practitioner · New Haven, CT
- NPI
- 1033224670
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0200X
- License number
- 002875 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-21
- Last updated
- 2007-07-08
Practice location
374 Grand Avenue, Fair Haven Community Health Ctr
New Haven, CT 06513
(203) 777-7411