Kandie Ann Forest in Plymouth - Family

Kandie Ann Forest - NPI 1871614594

Kandie Ann Forest is a Family in Plymouth, Indiana. Kandie Ann Forest practices all healthcare services and medical treatments related to Family. The NPI Number for Kandie Ann Forest is 1871614594. The last update date is 2023-11-27.

Kandie Ann Forest's current location address is 2349 Lake Ave, Plymouth, Indiana. You can contact this provider via phone number 5749412977 and fax number 5749412978. The mailing address for Kandie Ann Forest is 2349 Lake Ave, Plymouth, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kandie Ann Forest
Address 2349 Lake Ave, Plymouth, Indiana
Phone Number 5749412977
Fax Number 5749412978
Sole Proprietor N
Credentials N.P.

NPI Number Detail

NPI Number 1871614594
Provider Enumeration Date 2007-04-02
Last Updated Date 2023-11-27

Provider Mailing Address Detail

Address 2349 Lake Ave
City Plymouth
State Indiana (IN)
Post Code 465637835
Phone Number 5749412977
Fax Number 5749412978

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 71001824
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200502780 IN --

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FAQs about Kandie Ann Forest

What is the Kandie Ann Forest's 1871614594?

The Kandie Ann Forest's NPI (National Provider Identifier) Number is 1871614594. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kandie Ann Forest?

The Kandie Ann Forest is situated at 2349 Lake Ave, in the city of Plymouth, state of IN, with the zip code 465637835.

What is the area of specialization for Kandie Ann Forest, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kandie Ann Forest is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.

On what date did the Kandie Ann Forest receive its 1871614594 assignment from the Centers for Medicare & Medicaid Services?

The Kandie Ann Forest was assigned its 1871614594 by the Centers for Medicare & Medicaid Services on 2007-04-02.

As of what date was the information regarding Kandie Ann Forest, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kandie Ann Forest, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-27.

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