Forman, Rosha Nicole

Forman, Rosha Nicole is an individual health care provider with primary practice located at 850 Harrison Ave Yacc 4, Boston MA 02118-4001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Forman, Rosha Nicole can be contacted via phone (617) 414-2000.

Contact Information

Primary practice address
850 Harrison Ave Yacc 4 Boston MA 02118-4001
Phone: (617) 414-2000
Fax: (617) 414-5798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 271728 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN271728 Massachusetts

Profile Details

NPI number 1265683932
LBN Legal business name Forman, Rosha Nicole
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2008
Last updated Apr 29th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1265683932 NPPES
Massachusetts MEDICAID 110086179A

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