Individual
MARIANNE FORTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 MARTIN RD, LYNN, MA 01904-1216
(617) 460-3016
Mailing address
21 MARTIN RD, LYNN, MA 01904-1216
(617) 460-3016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2321699
MA
Other
Enumeration date
08/29/2022
Last updated
09/14/2022
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