Fortune, Amanda

Fortune, Amanda is an individual health care provider with primary practice located at 530 Duval Ave , Houma LA 70364-3102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Nursing Service Providers / Women's Health Care, Ambulatory. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Fortune, Amanda can be contacted via phone (504) 201-1900.

Contact Information

Primary practice address
530 Duval Ave Houma LA 70364-3102
Phone: (504) 201-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X AP08064 Louisiana
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X RN126526 Louisiana

Profile Details

NPI number 1730586991
LBN Legal business name Fortune, Amanda
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2014
Last updated Mar 4th, 2015 - about 9 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 1730586991 NPPES
Other CNM2337 AMCB
MEDICAID 00338278 AMCB
Other RN126526 AMCB
Other AP08064 AMCB
MEDICAID 2382063 AMCB

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