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Individual
MELANIE P FORTIN
Active
Individual
MELANIE P FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024132
NY
363A00000X
Physician Assistant
055.0031447
VT
363A00000X
Physician Assistant
8906
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2019
Last updated
04/29/2026
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