Individual
CELINE MARIE FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 DOW JONES AVE, NASHUA, NH 03062-3089
(603) 889-3667
(603) 886-1805
Mailing address
5 DOW JONES AVE, NASHUA, NH 03062-3089
(603) 889-3667
(603) 886-1805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
040412-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30340507
—
NH
Enumeration date
09/24/2006
Last updated
09/16/2009
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