Individual provider · Type 1 NPI
Lily Rose Fortunato, AGACNP
Acute Care Nurse Practitioner · Salt Lake City, UT
NPI number
1881585909
Active
Practice location
1950 Circle Of Hope Dr
Salt Lake City, UT 84112-5500
Mailing address
942 E North Union Ave Unit 339
Midvale, UT 84047-1931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 11765744-4405 (UT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1881585909
Lily Rose Fortunato, AGACNP's National Provider Identifier is 1881585909, issued on Jul 15, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 9, 2026.