ALISA D. ORTEGA NP
NPI 1811184492
Nurse Practitioner - Pediatrics in Boise, ID

Active since September 27, 2007
417 S 6TH ST, BOISE, ID 83702(208) 577-4460(208) 577-4469 Get Directions Write a Review

NPPES record last updated: October 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alisa D. Ortega Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISA D. ORTEGA NP (NPI 1811184492) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (NP242A) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1811184492
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameALISA D. ORTEGACredential: NP
Location Address417 S 6TH STBoise, ID 83702-7632
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Fax(208) 577-4469
Sole ProprietorNo
Enumeration DateSeptember 27, 2007
Last NPPES UpdateOctober 6, 2012
NPI 1811184492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in ID · NP242A
417 S 6TH ST, Boise, ID 83702

Other Identifiers 1

OtherD93724Upin

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
417 S 6TH ST
BOISE, ID 83702
Social Worker
417 S 6TH ST
BOISE, ID 83702
Social Worker
417 S 6TH ST
BOISE, ID 83702
Nurse Practitioner
417 S 6TH ST
BOISE, ID 83702
Social Worker
417 S 6TH ST
BOISE, ID 83702
Social Worker
417 S 6TH ST
BOISE, ID 83702
Social Worker
417 S 6TH ST
BOISE, ID 83702
Social Worker
417 S 6TH ST
BOISE, ID 83702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811184492, enumerated as an "individual" on September 27, 2007.

The provider is located at 417 S 6TH ST BOISE, ID 83702 and the phone number is (208) 577-4460.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.