Individual
JOSHUA CODY FORSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN-C
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 274-8017
Mailing address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-78066-062
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201195940A
—
KS
Enumeration date
02/12/2018
Last updated
04/19/2018
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