Individual
TONI FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
557 BROOKDALE DRIVE, STATESVILLE, NC 28677
(704) 873-5661
Mailing address
557 BROOKDALE DRIVE, STATESVILLE, NC 28677
(704) 873-5661
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
188691
NC
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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