Individual
MRS. REGINA ROBERTS FORTINO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2 KNIGHT ST, NORWALK, CT 06851-4707
(203) 853-1866
Mailing address
18 SILVER BROOK RD, WESTPORT, CT 06880-1523
(203) 222-7432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
278283-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278283-1
NURSING LICENSE
NY
Enumeration date
01/12/2006
Last updated
07/08/2007
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