Individual
ELIZABETH ANN FORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
166 LYONS AVE FL 1, NEWARK, NJ 07112-2016
(973) 926-7282
Mailing address
433 N BROAD ST, ELIZABETH, NJ 07208-3300
(908) 436-1002
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00963800
NJ
Other
Enumeration date
10/04/2019
Last updated
11/10/2025
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