Healthcare Provider Details

I. General information

NPI: 1356685655
Provider Name (Legal Business Name): CINDY KATE FORRESTER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 11/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 ABERDEEN TER
GREENSBORO NC
27403-1818
US

IV. Provider business mailing address

413 ABERDEEN TER
GREENSBORO NC
27403-1818
US

V. Phone/Fax

Practice location:
  • Phone: 336-992-5900
  • Fax: 336-996-2229
Mailing address:
  • Phone: 336-681-8858
  • Fax: 336-996-2229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number5005399
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: