1093085409 NPI number — MS. JOANNE FORBES ADULT NURSE PRACTITI

Table of content: MS. JOANNE FORBES ADULT NURSE PRACTITI (NPI 1093085409)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093085409 NPI number — MS. JOANNE FORBES ADULT NURSE PRACTITI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FORBES
Provider First Name:
JOANNE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
ADULT NURSE PRACTITI
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093085409
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/03/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 CENTER DRIVE CRC HATFIELD RM 5-2740
Provider Second Line Business Mailing Address:
NATIONAL INSTITUTES OF HEALTH/NIPOK/DDB
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20892-1804
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-443-9557
Provider Business Mailing Address Fax Number:
301-451-9160

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 CENTER DRIVE
Provider Second Line Business Practice Location Address:
NATIONAL INSTITUTES OF HEALTH
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20892
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-496-4202
Provider Business Practice Location Address Fax Number:
301-402-0600
Provider Enumeration Date:
01/03/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  R059269 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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