| Nicole Aileen Ortlieb, | |
|
96112 Lanceford Ln, Fernandina Beach, FL 32034-6197 | |
| (301) 520-0658 | |
| Not Available |
| Full Name | Nicole Aileen Ortlieb |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 96112 Lanceford Ln, Fernandina Beach, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801663539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1200729 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Aileen Ortlieb, 96112 Lanceford Ln, Fernandina Beach, FL 32034-6197 Ph: (301) 520-0658 | Nicole Aileen Ortlieb, 96112 Lanceford Ln, Fernandina Beach, FL 32034-6197 Ph: (301) 520-0658 |
Courtney Marshall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1132 S 14th St, Fernandina Beach, FL 32034 Phone: 904-432-3061 Fax: 904-432-3062 | |
Scott Allen Weeks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1348 S 18th St Ste 200, Fernandina Beach, FL 32034 Phone: 042-619-7869 Fax: 904-277-4143 | |
Amy Brooke Mendonsa, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 96279 Brady Point Rd, Fernandina Beach, FL 32034 Phone: 904-321-0088 Fax: 904-321-0016 | |
Randall B Fulford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 96279 Brady Point Rd, Fernandina Beach, FL 32034 Phone: 904-321-0088 | |
Lori Young Tilton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 S 14th St, Fernandina Beach, FL 32034 Phone: 904-491-3688 Fax: 904-390-7450 | |
Jennie Santangelo Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1348 S 18th St Ste 100, Fernandina Beach, FL 32034 Phone: 904-261-0878 Fax: 904-277-7054 | |
Sara Veronica Mccarthy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 Phone: 904-321-8400 Fax: 904-321-8401 |