Amanda Lynn Fortier, PA-C

NPI #1053193557 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1053193557
Entity Type: Individual
Name: Amanda Lynn Fortier, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 18, 2023
Last Updated: Oct 18, 2023

Practice Location

Address: 11850 BLACKFOOT ST NW STE 470
City: Coon Rapids
State: Minnesota
ZIP Code: 55433-2773
Phone: (651) 999-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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