NPI 1053133637

Blanca P Mejia de Ortiz, PA

Practitioner Physician Assistant Avondale, AZ

Practice location

Address: 11621 W Rio Vista Ln, Avondale, AZ 85323-7618
Phone: (623) 455-0992

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2120 (PR)

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Registry record

NPI: 1053133637
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2024
Record last updated: 25 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.