=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043177165
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FORENSIC EDUCATION AND RELIEF NURSE STAFFING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/09/2026
-----------------------------------------------------
Last Update Date | 01/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2419 PARK ST
-----------------------------------------------------
City | BELLINGHAM
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98225-2722
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-334-7376
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2419 PARK ST
-----------------------------------------------------
City | BELLINGHAM
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98225-2722
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-334-7376
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MARTHA EMILY PHILLIPS
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 414-732-0728
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------