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Nicole Ortlieb
NPI 1801663539 · on the registry since 2023 · sole proprietor
Practice
- Address
- 96112 Lanceford Ln
Fernandina Beach, FL 32034 - Phone
- (301) 520-0658
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida