Individual
MRS. SUZANNE MARIE FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN-241991
OH
363L00000X
Nurse Practitioner
Primary
COA.10089-NP
OH
363LF0000X
Family Nurse Practitioner
10089
OH
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
07791
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077447
—
OH
01
—
9997428
BCMH SERVICE COORDINATION
OH
Enumeration date
10/05/2006
Last updated
12/27/2021
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