Individual
BRIANNA FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4521 DEER CREEK CT, YOUNGSTOWN, OH 44515-5464
(330) 318-2397
Mailing address
4521 DEER CREEK CT, YOUNGSTOWN, OH 44515-5464
(330) 318-2397
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LPN.173527.MEDS-IV
OH
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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