Fortner, Terri Dawn

Fortner, Terri Dawn is an individual health care provider with primary practice located at 1001 W. Broadway , Farmington NM 87401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fortner, Terri Dawn can be contacted via phone (505) 325-0238.

Contact Information

Primary practice address
1001 W. Broadway Farmington NM 87401
Fax: (505) 327-7247
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP01563 New Mexico

Profile Details

NPI number 1669796652
LBN Legal business name Fortner, Terri Dawn
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2010
Last updated Nov 17th, 2011 - about 14 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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