Individual provider · Type 1 NPI
Brittney Fortenberry
Student in an Organized Health Care Education/Training Program · Desoto, TX
NPI number
1376915512
Active
Practice location
413 Silver Creek Dr
Desoto, TX 75115-7846
Mailing address
PO Box 3275
Commerce, TX 75429-3275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 34764382 (TX) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Desoto
About NPI 1376915512
Brittney Fortenberry's National Provider Identifier is 1376915512, issued on Oct 28, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Desoto, TX. The record was last updated on Oct 28, 2015.