person
Ms. Ellen R Fortier, PA
Medical Physician Assistant in St Petersburg, Florida
NPI 1699754002

Ellen R Fortier is a Medical Physician Assistant based in Tampa, FL and is specialized in Medical. Ellen R Fortier practices in St Petersburg, FL and has the professional credentials of PA. The NPI Number for Ellen R Fortier is 1699754002 and holds a License No. PA 0003227 (Florida).

The current practice location address for Ellen R Fortier is 2191 9Th Ave N, St Petersburg, FL and can be reached out via phone at 727-821-7163 and via fax at 727-822-6017.

Location: 2191 9Th Ave N, St Petersburg, FL, 33611-2912
person
Provider Profile Details
NPI Number
1699754002
Provider Name
Ellen R Fortier
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2191 9Th Ave N, St Petersburg, FL, 33611-2912
Phone Number
727-821-7163
Fax Number
727-822-6017
Provider Enumeration Date
01/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2191 9Th Ave N
City
State
Zip
33713-7146
Phone Number
727-821-7163
Fax Number
727-822-6017
person
Provider Business Mailing Address Details
Address
2191 9Th Ave N
City
State
Zip
33713-7146
Phone Number
727-821-7163
Fax Number
727-822-6017
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 0003227 (Florida)
Definition
Definition to come...
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