Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 0996743-NP | CO |
Y | 363LW0102X | Nurse Practitioner - Women's Health | 0996743-NP | CO |
NPI | 1093477200 |
---|---|
Provider Name | Mrs. Natasha Lynn Forgey |
First Address | Fort Collins, CO 80525-8244 |
Second Address | Fort Collins, CO 80525-3661 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2021 |
Last Update Date | 06/10/2021 |