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

Timothy Carter Fortin

Individual provider Registered Nurse · NPI 1659200764

Timothy Carter Fortin is a Registered Nurse in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

5288 N Samson Ave
Boise, ID 83704-1971
Phone: (208) 724-1597
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN6771841 (ID)

Record details

NPI number1659200764
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address5288 N Samson Ave, Boise, ID 83704-1971

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