Organization · Type 2 NPI
Forsyth Family Medical Clinic, LLC
Family Nurse Practitioner · Forsyth, MO
NPI number
1265753792
Active
Practice location
10726 E Hwy 76, Ste. G
Forsyth, MO 65653
Fax (417) 546-2594
Mailing address
PO Box 1239
Forsyth, MO 65653-1239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 120158 (MO) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Forsyth
About NPI 1265753792
Forsyth Family Medical Clinic, LLC's National Provider Identifier is 1265753792, issued on Jun 18, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Forsyth, MO. The record was last updated on Apr 23, 2012.