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Individual

MS. HOLLAN DESHOTEL FORTIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
1119 N MAIN ST, SAINT MARTINVILLE, LA 70582-3513
(337) 394-7774
(337) 394-8015
Mailing address
401 YOUNGSVILLE HWY, SUITE 100, LAFAYETTE, LA 70508-5173
(337) 330-0031
(337) 330-0059

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07698
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2359231
LA
Enumeration date
02/25/2014
Last updated
09/10/2016
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