NPI 1639983349

Tabitha R Fortner, CRANIALPROSTHESIS

Practitioner Prosthetic/Orthotic Supplier North Las Vegas, NV

Practice location

Address: 5710 Simmons St # A1, North Las Vegas, NV 89031-9900
Phone: (323) 921-5084
Mailing address: 410 Horse Pointe Ave, North Las Vegas, NV 89084-1225

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Nevada →

Registry record

NPI: 1639983349
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2025
Record last updated: 3 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.