Fortuna, Suzanne Marie
Fortuna, Suzanne Marie is an individual health care provider with primary practice located at 2500 Metrohealth Dr , Cleveland OH 44109-1900. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fortuna, Suzanne Marie can be contacted via phone (216) 778-7800.Contact Information
Primary practice address
2500 Metrohealth Dr
Cleveland OH 44109-1900
Phone: (216) 778-7800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | RN-241991 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | COA.10089-NP | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 10089 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health | 364SC1501X | 07791 | Ohio |
Profile Details
| NPI number | 1679669592 |
|---|---|
| LBN Legal business name | Fortuna, Suzanne Marie |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Dec 27th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679669592 | NPPES |
| Ohio | Other | 9997428 | BCMH SERVICE COORDINATION |
| Ohio | MEDICAID | 0077447 | BCMH SERVICE COORDINATION |
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