Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE AILEEN ORTLIEB
Active Sole ProprietorNICOLE AILEEN ORTLIEB is a Physician Assistant healthcare provider located in FERNANDINA BEACH, Florida. NPI 1801663539 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FERNANDINA BEACH, FL
Registration Details
- NPI Number
- 1801663539
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2023 (2.675307750575 yrs)
- Last Updated
- Dec 4, 2023
- License
-
1200729 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
96112 LANCEFORD LNFERNANDINA BEACH, FL, 320346197Browse FL providers · Browse ZIP 32034
- Phone
- 3015200658
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FERNANDINA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| ROBERT J MUNOZ | P.A. | 1972589612 |
| MR. BRYAN KEITH RAWLINSON | P.A. | 1922079425 |
| ROBIN BRIGGS | PAC | 1417924945 |
| RANDALL B FULFORD | PA-C | 1295795896 |
| MALCOLM HICKOX | PA-C | 1457385171 |
| LORI YOUNG TILTON | PA-C | 1306948179 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.