Brandon Forrester, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Plainwell, MI
NPI 1275958837 · NPPES record last updated Feb 19, 2014
Key facts
- NPI
- 1275958837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704262062 (MI)
- Practice address
- 12075 Cressey Rd
Plainwell, MI 49080-9076 - Phone
- (269) 664-5512
- NPI assigned
- Feb 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704262062 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704262062 | MI | Yes |
| Home Health Registered Nurse | 163WH0200X | 4704262062 | MI |
Addresses
Primary practice location
12075 Cressey Rd
Plainwell, MI 49080-9076
Mailing address
12075 Cressey Rd
Plainwell, MI 49080
Phone (269) 664-5512
Other providers in Plainwell, MI
- Everlasting Covenant Ministry
- Madiha Farhat
- Megan Ferguson
- Case Flickingerglieden
- Corinne Folsom
- Rebecca Lyn Foster
- Stephen Keith Fuller
- Katie Galovan
- Michelle Lyn Gaudette
- Rachel Mary Giddings
All providers in Plainwell, MI · Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.