National Provider Identifier
Julie Lynn Fortner, MSED
Julie Lynn Fortner, MSED is listed in the NPPES registry with a primary specialty of Specialist in Fredonia, NY and a listed phone number of (716) 672-2738.
Profile Overview
- NPI
- 1215290911
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 19, 2012
- Last Updated
- June 19, 2012
Practice Location
- 75 Chestnut St
- Fredonia, NY 14063-1630
Phone: (716) 672-2738
Mailing Address
- 83 Pullman St
- Brocton, NY 14716-9650
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1215290911
- Entity Type
- Individual
- Last Name
- Fortner
- First Name
- Julie
- Middle Name
- Lynn
- Name Prefix
- Mrs.
- Credential
- MSED
- Mailing Street Address
- 83 Pullman St
- Mailing City
- Brocton
- Mailing State
- NY
- Mailing ZIP Code
- 14716-9650
- Mailing Country
- US
- Mailing Phone
- (716) 680-0359
- Practice Street Address
- 75 Chestnut St
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1630
- Practice Country
- US
- Practice Phone
- (716) 672-2738
- Enumeration Date
- June 19, 2012
- Last Updated
- June 19, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 174400000X (NY, Education)