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Individual

PEDRO HENRIQUE FORTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, FNP-C

Contact information

Practice address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
Mailing address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2326466
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2326466
MA

Other

Enumeration date
08/15/2023
Last updated
09/05/2023
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