MISS Colleen Elizabeth Fortine, LPN
NPI #1245676964 in Lake Katrine, New York
Provider Information
- NPI Number
- 1245676964
- Entity Type
- Individual
- Name
- MISS Colleen Elizabeth Fortine, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 21, 2013
- Last Updated
- May 21, 2013
Practice Location
- Address
- 8 VANS TER
- City
- Lake Katrine
- State
- New York
- ZIP Code
- 12449-5204
- Phone
- (845) 901-1542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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