Forstrom, Kristen Scott
Forstrom, Kristen Scott is an individual health care provider with primary practice located at 1711 S Stephenson Ave Ste 215 , Iron Mountain MI 49801-3649. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Forstrom, Kristen Scott can be contacted via phone (906) 828-2576.Contact Information
Primary practice address
1711 S Stephenson Ave Ste 215
Iron Mountain MI 49801-3649
Phone: (906) 828-2576
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 11094-33 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704359564 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704359564 | Michigan |
Profile Details
NPI number | 1164095139 |
---|---|
LBN Legal business name | Forstrom, Kristen Scott |
Credentials | APNP, NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2021 |
Last updated | Oct 19th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164095139 | NPPES |
Other | F06211083 | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
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