Individual
BAMBY FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 862-5969
Mailing address
28 WOODSIDE PARK, WEST DENNIS, MA 02670-2708
(508) 523-5738
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2272929
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2272929
MA
Other
Enumeration date
05/16/2019
Last updated
01/19/2021
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