Individual provider · Type 1 NPI

Micah J. Forman, ARNP

Nurse Practitioner · Winter Park, FL

NPI number 1689972192 Active

Practice location

4100 Metric Dr, Suite 200
Winter Park, FL 32792-6837

Call (407) 681-8720 Map

Fax (407) 681-8729

Mailing address

807 S Orlando Ave, Suite C
Winter Park, FL 32789-4870

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	ARNP9169904 (FL)

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 1689972192

Micah J. Forman, ARNP's National Provider Identifier is 1689972192, issued on Mar 8, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winter Park, FL. The record was last updated on Mar 8, 2011.