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NPI Code Detail

MEDICARE: MS. SUSAN LYNN FORBES R.N.

MEDICARE: MS. SUSAN LYNN FORBES R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0400XCase Management Registered NurseR21511NJ

General Provider Information

NPI Number : 1114119146
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN LYNN FORBES R.N.
Provider Business Mailing Address
First Line : 1372 REYNOSA LOOP SE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-8741
Country : US
Telephone Number : 585-892-1647
Fax Number :
Provider Business Practice Location Address
First Line : 4101 INDIAN SCHOOL RD NE
Second Line : ATTN: HEALTH SERVICES
City : ALBUQUERQUE
State : NM
Zip : 87110-3988
Country : US
Telephone Number : 505-262-3859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2007
Last Update Date : 08/14/2007

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