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

MRS. MARY ELIZABETH FORTMAN, N.P.

Active

MRS. MARY ELIZABETH FORTMAN, N.P. is a Nurse Practitioner healthcare provider located in FT. WAYNE, Indiana. NPI 1942892682 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · FT. WAYNE, IN

Registration Details

NPI Number
1942892682
Provider Type
Individual
Gender
Female
NPI Issued
Feb 4, 2021 (5.5098954386997 yrs)
Last Updated
Feb 4, 2021
Licenses
71010812A (IN)
71010812A (IN)

Practice Information

Address
PARKVIEW HEALTH
11108 PARKVIEW CIRCLE DR, DOOR 10
FT. WAYNE, IN, 46845
Browse IN providers · Browse ZIP 46845
Phone
2602661000
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner
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.