Nicholas Stephen Fortna, DO is a
Student In An Organized Health Care Education/training Program physician based in Las Vegas, Nevada. Nicholas Stephen Fortna is licensed to practice in * (Not Available) (license number ) and his current practice location is 3014 W Charleston Blvd Ste 130, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 671-5127.
NPI number for Nicholas Stephen Fortna is 1215739180 and his current mailing address is 3014 W Charleston Blvd Ste 130, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215739180.
Physician's Profile
| Full Name | Nicholas Stephen Fortna |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3014 W Charleston Blvd Ste 130, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215739180
- Provider Enumeration Date: 03/24/2025
- Last Update Date: 06/04/2026
Medical Identifiers
Medical identifiers for Nicholas Stephen Fortna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215739180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | SL2352 (Nevada) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Stephen Fortna is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicholas Stephen Fortna, DO
3014 W Charleston Blvd Ste 130,
Las Vegas, NV 89102-0083
Ph: () - | Nicholas Stephen Fortna, DO
3014 W Charleston Blvd Ste 130,
Las Vegas, NV 89102-0083
Ph: (702) 671-5127 |
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