Search › Arkansas › 171M00000X
Nicole Fortin
NPI 1962890061 · on the registry since 2014
Practice
- Address
- 460 Dupre Cir
Centerton, AR 72719 - Phone
- (479) 696-2867
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-26
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas