Fortier, Ellen R

Fortier, Ellen R is an individual health care provider with primary practice located at 2191 9Th Ave N Suite 240, St Petersburg FL 33713-7146. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fortier, Ellen R can be contacted via phone (727) 821-7163.

Contact Information

Primary practice address
2191 9Th Ave N Suite 240 St Petersburg FL 33713-7146
Fax: (727) 822-6017
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 0003227 Florida

Profile Details

NPI number 1699754002
LBN Legal business name Fortier, Ellen R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jul 8th, 2007 - about 17 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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