Individual
CHAELI A FORTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-1045
(402) 559-4988
(402) 559-9643
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111706
NE
363L00000X
Nurse Practitioner
H137205
IA
Other
Enumeration date
06/13/2014
Last updated
04/21/2016
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