MS. ELLEN R FORTIER PA NPI 1699754002

NPI Information

  • NPI: 1699754002
  • Provider Name: MS. ELLEN R FORTIER, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 2191 9TH AVE N
    SUITE 240
    ST PETERSBURG, FL
    ZIP 33713
  • Phone: (727) 821-7163

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NPI Details

MS. Ellen R Fortier, PA is a medical physician assistant in St Petersburg, FL. MS. Ellen R Fortier, PA NPI is 1699754002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2191 9TH AVE N
SUITE 240
ST PETERSBURG, FL
ZIP 33713-146
Phone: (727) 821-7163
Fax: (727) 822-6017

The enumeration date for this NPI number is 1/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA 0003227FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E7100BMEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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