Philomene Fortes
Nurse Practitioner, Family in Pawtucket, RI. Individual provider (NPI-1).
NPI number1235568171
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1235568171
- Entity type
- Individual (NPI-1)
- Name
- Philomene Fortes
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2013
- Certification date
- Sep 30, 2024
- Last updated
- Sep 30, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN01560 | RI | Yes |
Practice location
39 East AvePawtucket, RI 02860-4003
Phone 401-722-0081 · Fax 401-312-0318
Mailing address
4404 Queensbury RdRiverdale, MD 20737-1068
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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