Healthcare Provider Details

I. General information

NPI: 1497680268
Provider Name (Legal Business Name): ANNA MARIE FORRESTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 INGERSOLL AVE
DES MOINES IA
50312-3910
US

IV. Provider business mailing address

1628 37TH ST
DES MOINES IA
50310-4423
US

V. Phone/Fax

Practice location:
  • Phone: 515-203-1898
  • Fax:
Mailing address:
  • Phone: 515-203-1898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number137752
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: