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Individual

BRENDA CHERYL FORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
997 OLD US HWY 70 W STE A, BLACK MOUNTAIN, NC 28711-4505
(828) 298-7981
(828) 298-6010
Mailing address
PO BOX 406, BRYSON CITY, NC 28713-0406
(828) 560-3400
(828) 538-4441

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012974
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013547553
NC
01
2089V
BCBS NC
NC
01
2776095
CIGNA
NC
01
NNB202A
MEDICARE
NC
01
P02457852
RAILROAD MEDICARE
NC
Enumeration date
01/23/2020
Last updated
08/10/2023
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