Individual
PHILOMENE FORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 EAST AVE, PAWTUCKET, RI 02860-4003
(401) 722-0081
(401) 312-0318
Mailing address
4404 QUEENSBURY RD, RIVERDALE, MD 20737-1068
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN01560
RI
Other
Enumeration date
11/01/2013
Last updated
09/30/2024
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