Individual
ADRIENNE GRAEUB FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
638 E COLLEGE AVE STE B, STANTON, KY 40380-2363
(606) 318-3500
(606) 318-3503
Mailing address
638 E COLLEGE AVE STE B, STANTON, KY 40380-2363
(606) 318-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013555
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100620230
—
KY
Enumeration date
08/27/2019
Last updated
06/29/2022
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