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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X34764382 (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.

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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.