Paula J Fortner, APRN-CNP | |
225 E Main St, Logan, OH 43138-1305 | |
(740) 380-9537 | |
(740) 380-1488 |
Full Name | Paula J Fortner |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 225 E Main St, Logan, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639577026 | NPI | - | NPPES |
0136731 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 16625NP (Ohio) | Primary |
207P00000X | Emergency Medicine | APRN.CNP.16625 (Ohio) | Secondary |
Entity Name | Scott J Anzalone |
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Entity Type | Practitioner - Family Practice |
Entity Identifiers | NPI Number: 1275544579 PECOS PAC ID: 5496776379 Enrollment ID: I20051207001101 |
Entity Name | Osup Community Outreach Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
Mailing Address | Practice Location Address |
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Paula J Fortner, APRN-CNP 225 E Main St, Logan, OH 43138-1305 Ph: () - | Paula J Fortner, APRN-CNP 225 E Main St, Logan, OH 43138-1305 Ph: (740) 380-9537 |
Mrs. Amy L Black, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-380-3750 | |
Holly Christine Smith, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Amanda Downs Davis, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1383 W Hunter St, Logan, OH 43138 Phone: 740-385-0202 Fax: 740-380-2734 | |
Kaitlin E. Angle, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Brett Wilson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 State Route 664 N, Suite C, Logan, OH 43138 Phone: 740-385-6594 Fax: 740-380-0852 | |
Patrick Howe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 Sr 664 N Suite C, Logan, OH 43138 Phone: 740-385-6594 Fax: 740-774-6617 | |
Bethany Ann Jagers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-380-3730 |