Provider Demographics
NPI:1710492145
Name:FORTUNA, JULIYA (PA)
Entity Type:Individual
Prefix:
First Name:JULIYA
Middle Name:
Last Name:FORTUNA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:30 CHOCTAW ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4513
Mailing Address - Country:US
Mailing Address - Phone:828-255-7733
Mailing Address - Fax:828-258-3084
Practice Address - Street 1:540 N DUKE ST STE 244
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2374
Practice Address - Country:US
Practice Address - Phone:717-826-9781
Practice Address - Fax:828-258-3084
Is Sole Proprietor?:No
Enumeration Date:2017-12-07
Last Update Date:2024-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-07722363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant