Doctor Name: | DEBORAH COFIELD FORREST |
NPI Number: | 1730178773 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 0024158166 |
Business Practice Address: | 250 Memorial Dr Suite B Luray, VA - 228351000 |
Business Phone Number: | 5407439087 |
Business Fax Number: | |
Mailing Address: | 323 Almond Dr, LURAY |
State: | VA |
Postal Code: | 228353520 |
Phone Number: | 5407436517 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 0024158166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |