Individual
KELLY FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN, AGNP-C
Contact information
Practice address
1295 RANCHLAND DR, MAYFIELD HEIGHTS, OH 44124-1558
(216) 386-0106
Mailing address
1295 RANCHLAND DR, MAYFIELD HEIGHTS, OH 44124-1558
(216) 386-0106
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0038044
OH
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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