| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARIA C. FORTNER | 1144880089 | 2024-11-08 |
Maria C Fortner [F] graduated in 2019 from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and primarily specializes in Anesthesiology Assistant.
Maria C. Fortner is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144880089. Registration indicates Maria C. Fortner is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Anesthesiologist Assistant (Anesthesiologist Assistant, ) (Anesthesiologist Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 3577899848 |
| Entity Type | Individual |
| Provider Name | Maria C. Fortner CAA |
| Practice Office Address | 500 S CLEVELAND AVE WESTERVILLE, OH US |
| Practice Office Telephone | 3808984000 |
| Mailing Address | 1005 W 5TH AVE APT 336 COLUMBUS, OH 432123081 US |
| Business Telephone | 3308073189 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 410 W 10th Ave | Columbus, OH 432101240 | 6142938487 |
| Code | Practice | License No State |
|---|---|---|
| 367H00000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant Anesthesiologist Assistant Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers | 67.000354
OH |