Individual
ALLYSON CHRISTINE FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6891 A ST, LINCOLN, NE 68510-4197
(402) 730-6870
Mailing address
6891 A ST, LINCOLN, NE 68510-4197
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
115061
NE
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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