Individual
ELIZABETH RICHMOND FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7845 LITTLE AVE, CHARLOTTE, NC 28226-8198
(704) 375-0100
(704) 887-6450
Mailing address
PO BOX 470408, CHARLOTTE, NC 28247-0408
(704) 375-0100
(704) 887-6450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005418
NC
Other
Enumeration date
12/15/2011
Last updated
10/31/2024
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