DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERESA FORTENBERRY, NURSE PRACTITIONER

Active

TERESA FORTENBERRY, NURSE PRACTITIONER is a Nurse Practitioner healthcare provider located in MAYWOOD, Illinois. NPI 1710375043 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · MAYWOOD, IL

Registration Details

NPI Number
1710375043
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2015 (11.555976725222 yrs)
Last Updated
Jan 27, 2022
License
209-011536 (IL)

Practice Information

Address
2160 S 1ST AVE
MAYWOOD, IL, 601533328
Browse IL providers · Browse ZIP 60153
Phone
7082169000
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in MAYWOOD, IL

Name Credential NPI
MRS. MARIANNE LAFF CNP APRN BC NP 1215916788
TERESE M BERTUCCI APN 1366510430
MARY PHILLIP APN 1841339207
DONNA MCCORMACK APN 1396878682
EUN HA KIM NP 1164540480
AMY MICHELLE BETZ 1376701938
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.