Fortener, Erin Lynn

Fortener, Erin Lynn is an individual health care provider with primary practice located at 10664 Nestling Dr , Miamisburg OH 45342-0867. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fortener, Erin Lynn can be contacted via phone (937) 901-1387.

Contact Information

Primary practice address
10664 Nestling Dr Miamisburg OH 45342-0867
Phone: (937) 901-1387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN.327703 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.18629 Ohio

Profile Details

NPI number 1770957904
LBN Legal business name Fortener, Erin Lynn
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2015
Last updated Apr 24th, 2024 - about last year

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 1770957904 NPPES
Ohio MEDICAID 0155003

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