Fort, Cherie Cynthia
Fort, Cherie Cynthia is an sole proprietor health care provider with primary practice located at 14724 Escalona Rd , La Mirada CA 90638-4548. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fort, Cherie Cynthia can be contacted via phone (562) 225-5130.Contact Information
Primary practice address
14724 Escalona Rd
La Mirada CA 90638-4548
Phone: (562) 225-5130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 908903 | California |
Profile Details
| NPI number | 1912493362 |
|---|---|
| LBN Legal business name | Fort, Cherie Cynthia |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2018 |
| Last updated | Jul 9th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912493362 | NPPES |
| California | Other | 2017029785 | FAMILY NURSE PRACTITIONER |
| California | Other | 498903 | FAMILY NURSE PRACTITIONER |
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