Individual
JOHN BRUCE FORTNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 POLE CREEK CROSSING, SIDNEY, NE 69162-2900
(308) 254-5825
Mailing address
103 WASHINGTON CIR, SENATH, MO 63876-9219
(573) 738-2199
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101556
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
229732
AR
367500000X
Certified Registered Nurse Anesthetist
229732
MO
Other
Enumeration date
05/19/2009
Last updated
02/16/2026
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