Nicole Aileen Ortlieb
Nicole Aileen Ortlieb is a Physician Assistant in Fernandina Beach, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
96112 Lanceford LnFernandina Beach, FL 32034-6197
Phone: (301) 520-0658
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 1200729 (FL) |
|---|
Record details
| NPI number | 1801663539 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2023 |
| Last updated in NPPES | December 4, 2023 |
| Certification date | December 4, 2023 |
| Mailing address | 96112 Lanceford Ln, Fernandina Beach, FL 32034-6197 |
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