Dr. Evenstar Amelia Forbach
Nurse Practitioner - Acute Care
7510 W Bridle Trl
Flagstaff
, Arizona 86001-8021
Dr. Evenstar Amelia Forbach
Nurse Practitioner - Acute Care
7510 W Bridle Trl
Flagstaff
, Arizona 86001-8021
(928) 600-1731
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Dr. Evenstar Amelia Forbach
- 7510 W Bridle Trl
- Flagstaff, AZ
- Zip : 86001-8021
- Phone : (928) 600-1731
Second Address
- Dr. Evenstar Amelia Forbach
- 7510 W Bridle Trl
- Flagstaff, AZ
- Zip : 86001-8021
- Phone : (928) 600-1731
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 240186 | AZ |
National Provider Identifier
| NPI | 1033788427 |
|---|---|
| Provider Name | Dr. Evenstar Amelia Forbach |
| First Address | Flagstaff, AZ 86001-8021 |
| Second Address | Flagstaff, AZ 86001-8021 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2021 |
| Last Update Date | 21/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.