Individual
MS. MICHELLE MARIE FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHCNS
Contact information
Practice address
309 N MANDAN ST, STE 1, BISMARCK, ND 58501-3886
(701) 323-0924
(701) 323-0935
Mailing address
309 N. MANDAN ST, STE. 1, BISMARCK, ND 58501-3886
(701) 323-0924
(701) 323-0935
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R25856
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1450545
—
ND
01
—
R25856
LICENSE
ND
Enumeration date
10/05/2009
Last updated
11/02/2021
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