Healthcare Provider Details

I. General information

NPI: 1154157089
Provider Name (Legal Business Name): RYLEE FORSHEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 MAGNOLIA AVE E
SAINT PAUL MN
55130-3849
US

IV. Provider business mailing address

5005 1/2 34TH AVE S STE 4
MINNEAPOLIS MN
55417-1542
US

V. Phone/Fax

Practice location:
  • Phone: 507-923-6809
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: