Individual
CHRISANN FORET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2240 EAST WINROW AVE, FORT HUACHUCA, AZ 85613
(520) 533-9034
(520) 533-5148
Mailing address
207 ELGIN ST, HUACHUCA CITY, AZ 85616-9731
(520) 533-9034
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP044683
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP044683
PRACTIAL NURSE LICENSE NUMBER
AZ
Enumeration date
02/15/2016
Last updated
02/15/2016
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