Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 2019016110 | NY |
NPI | 1013565696 |
---|---|
Provider Name | Julie-Ann Forbes |
First Address | Bellerose, NY 11426-2617 |
Second Address | Bellerose, NY 11426-2617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2019 |
Last Update Date | 28/08/2019 |