Individual
INGRID M DUTTON -FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Mailing address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
022757
TN
363L00000X
Nurse Practitioner
RN271420
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022757
APN LICENSE
TN
Enumeration date
06/18/2007
Last updated
09/18/2023
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