Individual
EMILY FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN, MPH
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-1200
Mailing address
7444 E STATE ROAD 45, UNIONVILLE, IN 47468-9734
(812) 215-9795
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101483
IN
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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