Individual provider · Type 1 NPI

Phedra L. Forist, LPN

Licensed Practical Nurse · Grand Rapids, MI

NPI number 1871102640 Active

Practice location

3075 Orchard Vista Dr SE
Grand Rapids, MI 49546-7069

Call (616) 262-2074 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703094449 (MI)
Licensed Vocational Nurse 164X00000X4703094449 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1871102640

Phedra L. Forist, LPN's National Provider Identifier is 1871102640, issued on Jul 28, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 30, 2020.