Individual
LILY ROSE FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(619) 321-8647
Mailing address
942 E NORTH UNION AVE UNIT 339, MIDVALE, UT 84047-1931
(619) 321-8647
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11765744-4405
UT
Other
Enumeration date
07/15/2025
Last updated
03/09/2026
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