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NPI Code Detail

MEDICARE: JULIANNE E FORRESTER FNP

MEDICARE: JULIANNE E FORRESTER FNP
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
1363LF0000XFamily Nurse Practitioner44631WY
2163W00000XRegistered Nurse34154WY

General Provider Information

NPI Number : 1881242816
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANNE E FORRESTER FNP
Provider Business Mailing Address
First Line : 1208 HILLTOP DR STE 103
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-5858
Country : US
Telephone Number : 307-212-6082
Fax Number : 307-224-2128
Provider Business Practice Location Address
First Line : 1180 COLLEGE DR
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-5863
Country : US
Telephone Number : 307-212-7555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2019
Last Update Date : 01/19/2026

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