Individual provider · Type 1 NPI

Deborah Fortin, CPNP-BC

Pediatric Nurse Practitioner · Brooklyn, NY

NPI number 1801520150 Active

Practice location

451 Clarkson Ave
Brooklyn, NY 11203-2097

Mailing address

67 Haven Ave
Valley Stream, NY 11580-3238

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X617528 (NY)
Pediatric Nurse Practitioner Primary 363LP0200X202121416 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1801520150

Deborah Fortin, CPNP-BC's National Provider Identifier is 1801520150, issued on Jul 12, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 12, 2022.