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NPI Code Detail

MEDICARE: IRINE ANIE FORSAB

MEDICARE: IRINE ANIE FORSAB
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1017670TX
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61517950WA
3163W00000XRegistered Nurse772413TX

General Provider Information

NPI Number : 1497246151
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRINE ANIE FORSAB
Provider Business Mailing Address
First Line : 7110 FAVIAN CT
Second Line :
City : HOUSTON
State : TX
Zip : 77083-6936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 ELLIOTT AVE W STE 500
Second Line :
City : SEATTLE
State : WA
Zip : 98119-4292
Country : US
Telephone Number : 281-760-5290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2018
Last Update Date : 12/01/2025

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Directions to “ IRINE ANIE FORSAB ” Practice Location

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