Individual
BRITTANY D FORTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3983 I 49 S SERVICE RD STE 101, OPELOUSAS, LA 70570-0758
(337) 942-1126
Mailing address
1836 MARINGOUIN RD E, MARINGOUIN, LA 70757-5312
(225) 718-1052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08491
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2407961
—
LA
Enumeration date
08/12/2015
Last updated
11/06/2018
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