Individual
STEPHANIE L FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10 YORK ST, NEW HAVEN, CT 06510-3220
(860) 604-9638
Mailing address
61 WESTMINSTER RD, BRISTOL, CT 06010-4341
(860) 604-9638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
012693
CT
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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