Individual
SUSAN FOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L055928
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
05
—
211456002
—
AR
Enumeration date
08/13/2015
Last updated
02/17/2016
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