Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tabitha R Fortner, CRANIALPROSTHESIS

Individual provider Prosthetic/Orthotic Supplier · NPI 1639983349

Tabitha R Fortner, CRANIALPROSTHESIS is a Prosthetic/Orthotic Supplier in North las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5710 Simmons St # A1
North las Vegas, NV 89031-9900
Phone: (323) 921-5084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1639983349
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRANIALPROSTHESIS
Sole proprietorYes
NPI enumeratedFebruary 3, 2025
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

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