Organization · Type 2 NPI
Forum Health Enterprises Co
Nurse Practitioner · Youngstown, OH
Practice location
500 Gypsy Ln
Youngstown, OH 44504-1315
Fax (330) 884-0011
Mailing address
PO Box 1113
Youngstown, OH 44501-1113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Orthopaedic Surgery Physician | 207X00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | None listed |
| Physical Medicine & Rehabilitation Physician | 208100000X | None listed |
| Diagnostic Radiology Physician | 2085R0202X | None listed |
| Surgery Physician | 208600000X | None listed |
| Trauma Surgery Physician | 2086S0127X | None listed |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1013028406
Forum Health Enterprises Co's National Provider Identifier is 1013028406, issued on Aug 31, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Youngstown, OH. The record was last updated on Sep 11, 2025.