Individual provider · Type 1 NPI

Susan M. Forman, CRNA

Specialist · Dallas, TX

NPI number 1710101787 Active

Practice location

8305 Walnut Hill Ln, Suite 210
Dallas, TX 75231-4217

Fax (214) 363-3665

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X236864 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1710101787

Susan M. Forman, CRNA's National Provider Identifier is 1710101787, issued on Apr 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.