LATEISHA NICOLE FORT

HARVEY, IL
NPI1275024523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  277002648)
Enumeration Date2018-05-22
Last Update Date2024-07-21
Business Address
Ms. LATEISHA NICOLE FORT APN-FPA
1 INGALLS DR
HARVEY, IL 60426-3558
Phone number: 708-596-3344
Mailing Address
Ms. LATEISHA NICOLE FORT APN-FPA
2821 S HARLEM AVE STE 9
BERWYN, IL 60402-5273
Phone number: 800-897-4575
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