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Kimberly Phillips Fortenberry
Certified Registered Nurse Anesthetist in Covington, Louisiana
NPI 1750345005

Kimberly Phillips Fortenberry is a Certified Registered Nurse Anesthetist based in Covington, LA. Kimberly Phillips Fortenberry practices in Covington, LA. The NPI Number for Kimberly Phillips Fortenberry is 1750345005 and holds a License No. 901488 (Louisiana).

The current practice location address for Kimberly Phillips Fortenberry is 1202 S Tyler St, Covington, LA and can be reached out via phone at 985-898-4000 and via fax at 985-898-4394.

Location: 1202 S Tyler St, Covington, LA, 70433-9123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750345005
Provider Name
Kimberly Phillips Fortenberry
Credential
Provider Entity Type
Individual
Gender
Female
Address
1202 S Tyler St, Covington, LA, 70433-9123
Phone Number
985-898-4000
Fax Number
985-898-4394
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1569755 05 LA
430057274 01 RR MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
1202 S Tyler St
City
Covington
State
Louisiana
Zip
70433-2330
Phone Number
985-898-4000
Fax Number
985-898-4394
person
Provider Business Mailing Address Details
Address
1202 S Tyler St
City
Covington
State
Louisiana
Zip
70433-2330
Phone Number
985-898-4000
Fax Number
985-898-4394
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
901488 (Mississippi)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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