Individual
JOHN ISAK FORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1500 E 2ND ST STE 300, RENO, NV 89502-1198
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5000
(775) 982-3900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95040483
CA
363L00000X
Nurse Practitioner
95004834
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
822979
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151199557
CAQH NUMBER
NV
01
—
822979
APRN LIC
NV
Enumeration date
07/14/2016
Last updated
03/07/2023
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