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1063170199
CARLA FORTNER
INDIANAPOLIS, IN
NPI
1063170199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN F10210501)
Enumeration Date
2021-12-06
Last Update Date
2022-04-14
Business Address
Mrs. CARLA FORTNER FNP-C
6401 E WASHINGTON ST
INDIANAPOLIS, IN 46219-6614
Phone number: 317-548-4392
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Mailing Address
Mrs. CARLA FORTNER FNP-C
PO BOX 746720
ATLANTA, GA 30374-6720
Phone number: 312-773-9730
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