Individual
ANGELA FORTENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 922-3000
(978) 921-7048
Mailing address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 922-3000
(978) 921-7048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN270431
MA
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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