Most Relevant Information
Provider Data
| NPI Number: | 1003542812 |
| Provider Name: | BRIAN MICHAEL FORTUNE RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WX0800X |
| Specialty: | Registered Nurse |
| License Number: | 183519 |
Most Important Dates
| Enumeration Date: | 07/26/2022 |
| Last Updated: | 07/26/2022 |
Provider Practice Location
509 BILTMORE AVE
ASHEVILLE
NC
28801
Practice Location Phone/Fax
| Phone: | 8282131111 |
| Fax: |
Provider Mailing Location
7 OWL COVE ROAD
LEICESTER
NC
287485215
Provider Mailing Phone/Fax
| Phone: | 8286838602 |
| Fax: |