Teresa Karen Fortner MHPP

NPI 1225294374 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1225294374
Gender Female
Enumeration Date 07/29/2008
Last Updated 07/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
525 WISTERIA DR
NORTH LITTLE ROCK AR, 72118-3567, US
Phone (501) 594-5200
Fax (594) 520-0524
Business Location
PO BOX 180
PARON AR, 72122-0180, US
Phone (501) 594-5200
Fax (594) 520-0524
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mrs. Teresa Karen Fortner MHPP NPI is 1225294374, taxonomy code is 171M00000X Teresa Karen Fortner MHPP physically located at 525 Wisteria Dr, North Little Rock AR, 72118-3567. NPI Number Teresa Karen Fortner MHPP has the Individual type.

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1225294374 NPI number is provided on an as is basis without warranty of any kind. 1225294374 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa Karen Fortner MHPP are for informational purposes only.