Mashibe, Fortunata

Mashibe, Fortunata is an individual health care provider with primary practice located at 1000 E Main St , Danville IN 46122-1948. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mashibe, Fortunata can be contacted via phone (317) 745-4451.

Contact Information

Primary practice address
1000 E Main St Danville IN 46122-1948
Phone: (317) 745-4451
Fax: (317) 718-6740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28161083A Indiana

Profile Details

NPI number 1346679297
LBN Legal business name Mashibe, Fortunata
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2013
Last updated Jun 15th, 2020 - about 5 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 1346679297 NPPES
Indiana Other 000000847539 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201198840 ANTHEM PROVIDER NUMBER

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