Individual
ARDEN FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(651) 232-2002
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2470666
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
12930
MN
Other
Enumeration date
03/26/2025
Last updated
06/17/2025
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