Individual
AMBER FORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NNP-BC, APNP
Contact information
Practice address
9000 W WISCONSIN AVE, WAUWATOSA, WI 53226-4874
(414) 266-2950
Mailing address
9000 W WISCONSIN AVE, WAUWATOSA, WI 53226-4874
(414) 266-2950
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
5777-33
WI
Other
Enumeration date
05/06/2014
Last updated
04/05/2024
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