Individual provider · Type 1 NPI

Susan Marie Forest, MSN, RN, PNP - BC

Pediatric Nurse Practitioner · Detroit, MI

NPI number 1225358146 Active

Practice location

3901 Beaubien St
Detroit, MI 48201-2119

Fax (313) 745-2405

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704139827 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1225358146

Susan Marie Forest, MSN, RN, PNP - BC's National Provider Identifier is 1225358146, issued on Jun 2, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Jun 2, 2010.