Individual
MS. MICHELLE FORTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
204 KINGS RD, WEST COXSACKIE, NY 12192-2904
(518) 756-3351
Mailing address
204 KINGS RD, WEST COXSACKIE, NY 12192-2904
(518) 756-3351
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
407509
NY
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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