Forist, Phedra L

Forist, Phedra L is an individual health care provider with primary practice located at 3075 Orchard Vista Dr Se , Grand Rapids MI 49546-7069. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Forist, Phedra L can be contacted via phone (616) 262-2074.

Contact Information

Primary practice address
3075 Orchard Vista Dr Se Grand Rapids MI 49546-7069
Phone: (616) 262-2074
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703094449 Michigan
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 4703094449 Michigan

Profile Details

NPI number 1871102640
LBN Legal business name Forist, Phedra L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2020
Last updated Jul 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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