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Individual

ANDREW EMANUEL FORTNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
1 MEDICAL CENTER BLVD STE 407, CHESTER, PA 19013-3902
(610) 874-5257
Mailing address
333 PARK AVE APT 1, HERSHEY, PA 17033-1375
(717) 731-2800

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
363L00000X
Nurse Practitioner
Primary
SP025957
PA

Other

Enumeration date
10/04/2022
Last updated
09/11/2024
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