MEDICARE: AMERICAN FORENSIC NURSES, INC

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
1	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1780954354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN FORENSIC NURSES, INC

Provider Business Mailing Address
First Line	:	255 N EL CIELO RD
Second Line	:	#140-195
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-6992
Country	:	US
Telephone Number	:	760-322-9925
Fax Number	:	760-323-7555

Provider Business Practice Location Address
First Line	:	1750 E ARENAS RD STE 26
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-7137
Country	:	US
Telephone Number	:	760-322-9925
Fax Number	:	760-323-7555

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MRS. FAYE BATTISTE-OTTO
Credential	:	RN
Telephone Number	:	760-831-1807

Provider Enumeration Date	:	01/12/2012
Last Update Date	:	01/12/2012

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