Nicole Fortino
NPI #1063893683 in Puyallup, Washington
Provider Information
- NPI Number
- 1063893683
- Entity Type
- Individual
- Name
- Nicole Fortino
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jun 10, 2015
- Last Updated
- Jun 10, 2015
Practice Location
- Address
- 12812 101ST AVE CT E
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98373-9510
- Phone
- (253) 387-7011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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