| Doctor Name: | CAROLE FORSEMAN |
| NPI Number: | 1073918231 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CDE |
| License Number: | R118219-2 |
| Business Practice Address: | 115 6th St Nw Suite E Cass Lake, MN - 566333428 |
| Business Phone Number: | 2183354511 |
| Business Fax Number: | 2183354541 |
| Mailing Address: | 115 6th St Nw, Suite E CASS LAKE |
| State: | MN |
| Postal Code: | 566333428 |
| Phone Number: | 2183354511 |
| Fax Number: | 2183354541 |
| NPI Enumeration Date: | 10/30/2014 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | R118219-2 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |