Individual
DR. EVENSTAR AMELIA FORBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
7510 W BRIDLE TRL, FLAGSTAFF, AZ 86001-8021
(928) 600-1731
Mailing address
7510 W BRIDLE TRL, FLAGSTAFF, AZ 86001-8021
(928) 600-1731
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
240186
AZ
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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