AMANDA CARRIE GLEASON FORTNEY

LA CROSSE, WI
NPI1326804220
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-02-27
Last Update Date2026-07-28
Business Address
AMANDA CARRIE GLEASON FORTNEY
1900 SOUTH AVE
LA CROSSE, WI 54601-5467
Phone number: 970-248-2263
Mailing Address
AMANDA CARRIE GLEASON FORTNEY
1900 SOUTH AVE
LA CROSSE, WI 54601-5467
Phone number: 719-569-9580