Condecido, Fortunata S

Condecido, Fortunata S is an individual health care provider with primary practice located at 514 W Atlantic St , South Hill VA 23970-1906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Condecido, Fortunata S can be contacted via phone (434) 584-2000.

Contact Information

Primary practice address
514 W Atlantic St South Hill VA 23970-1906
Phone: (434) 584-2000
Fax: (434) 447-2240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024169248 Virginia

Profile Details

NPI number 1730487299
LBN Legal business name Condecido, Fortunata S
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2011
Last updated Jan 13th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730487299 NPPES
Virginia MEDICAID 1730487299
Virginia Other 1730487299
Virginia Other 540551711
Virginia Other 542019967

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