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NPI Code Detail

MEDICARE: MRS. ELEANOR SCOTT FORREST RN, MSN

MEDICARE: MRS. ELEANOR SCOTT FORREST RN, MSN
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
1163WC1500XCommunity Health Registered Nurse420220CA

General Provider Information

NPI Number : 1700067287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELEANOR SCOTT FORREST RN, MSN
Provider Business Mailing Address
First Line : 401 THE CITY DR S
Second Line :
City : ORANGE
State : CA
Zip : 92868-3303
Country : US
Telephone Number : 714-935-7144
Fax Number : 714-935-7332
Provider Business Practice Location Address
First Line : 401 THE CITY DR S
Second Line :
City : ORANGE
State : CA
Zip : 92868-3303
Country : US
Telephone Number : 714-935-7144
Fax Number : 714-935-7332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2007
Last Update Date : 11/26/2007

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