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Individual
ANDREW EMANUEL FORTNEY
Active
Individual
ANDREW EMANUEL FORTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
NULL
363L00000X
Nurse Practitioner
Primary
SP025957
PA
Other
Enumeration date
10/04/2022
Last updated
09/11/2024
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