Individual provider · Type 1 NPI

Stephanie Ann Fortman, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Indianapolis, IN

NPI number 1902643729 Active

Practice location

1311 W 96th St
Indianapolis, IN 46260-1191

Mailing address

PO Box 304
Cambridge City, IN 47327-0304

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28268154A (IN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71016070A (IN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1902643729

Stephanie Ann Fortman, PMHNP's National Provider Identifier is 1902643729, issued on Jul 10, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 25, 2024.