Richard N Fortune, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Geronimo, OK

NPI

1760475412

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

R0048255 (OK)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-08-29

Last updated

2007-07-08