PATRENA FORRESTER NPI 1255803789

NPI Information

NPI: 1255803789
Provider Name: PATRENA FORRESTER
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
125 BEACH 17TH ST APT 15J
FAR ROCKAWAY, NY
ZIP 11691
Phone: (646) 662-4484
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Patrena Forrester is a licensed practical nurse in Far Rockaway, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Patrena Forrester NPI is 1255803789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

125 BEACH 17TH ST APT 15J
FAR ROCKAWAY, NY
ZIP 11691-504
Phone: (646) 662-4484

The enumeration date for this NPI number is 12/21/2018 and was last updated on 12/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		327149-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	164W0000X	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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