Individual
REBECCA LYNNE FORTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(860) 793-3500
Mailing address
76 WATER ST, SOUTH GLASTONBURY, CT 06073-2226
(508) 617-3806
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN2294707
CT
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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