ALLYSE M ORTEGA

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN

277003290

ACTIVE

N

ALLYSE

M

ORTEGA

ALLYSE M ORTEGA

07/16/2024

03/03/2026

05/31/2028

WENTZVILLE

MO

63385

MISSOURI

N

03/03/2026