Individual provider · Type 1 NPI
Teresa Fortenberry, NURSE PRACTITIONER
Nurse Practitioner · Maywood, IL
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209-011536 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1710375043
Teresa Fortenberry, NURSE PRACTITIONER's National Provider Identifier is 1710375043, issued on Jan 9, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Maywood, IL. The record was last updated on Jan 27, 2022.