Individual provider · Type 1 NPI
Roan Emanuel Forgie
Psychiatric/Mental Health Nurse Practitioner · Winter Garden, FL
NPI number
1578744314
Active
Practice location
3065 Daniels Rd # 1077
Winter Garden, FL 34787-7002
Mailing address
669 E 237th St
Bronx, NY 10466-1409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 273030 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F403033 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1578744314
Roan Emanuel Forgie's National Provider Identifier is 1578744314, issued on Nov 20, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Winter Garden, FL. The record was last updated on Mar 23, 2022.