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Allyse Marie Ortega, FNP-C, AGACNP, RN

Nurse Practitioner, Family in O Fallon, MO. Individual provider (NPI-1).

NPI number1982149878
StatusActive
Last updated in NPPESJan 27, 2026

Details

NPI
1982149878
Entity type
Individual (NPI-1)
Name
Allyse Marie Ortega
Credential
FNP-C, AGACNP, RN
Sex
Female
Sole proprietor
No
Enumeration date
Dec 30, 2016
Certification date
Jan 27, 2026
Last updated
Jan 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2017001487MOYes
163WE0003X Registered Nurse, Emergency2010020396MO
363LA2100X Nurse Practitioner, Acute Care2023000801MO

Practice location

844 Waterbury Falls Dr Ste B
O Fallon, MO 63368-2208

Phone 636-385-5556 · Fax 636-614-2093

Mailing address

844 Waterbury Falls Dr Ste B
O Fallon, MO 63368-2208

Phone 636-385-5556 · Fax 636-614-2093

Other practice locations

27 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118

Phone 636-385-5556 · Fax 636-614-2093

17 Clarkson Rd
Ellisville, MO 63011-2215

Phone 636-552-9079

9556 Manchester Rd
Saint Louis, MO 63119-1313

Phone 314-373-5740

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Other Family Nurse Practitioner providers in O Fallon, MO

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