IndividualActive
Mario Ortiz, PHD; PHCNS-BC, FNP-C
NPI 1265826226 · Community Health/Public Health Clinical Nurse Specialist · South Bend, IN
Provider details
- NPI number
- 1265826226
- Entity type
- Individual
- Primary specialty
- Community Health/Public Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHD; PHCNS-BC, FNP-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 71005395A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1700 Mishawaka Ave # Sac-130
Health & Wellness Center, Iu South Bend
South Bend, IN 46615-1408
Phone: (574) 520-5557
Fax: (574) 520-5042
Approximate (ZIP-level) locationGet directions
Mailing address
1700 Mishawaka Ave # Sac-130
South Bend, IN 46615-1408
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2015-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.