Individual
TRACI FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS APRN
Contact information
Practice address
1340 WONDER WORLD DR STE 4301, SAN MARCOS, TX 78666-7695
(512) 353-6400
(512) 353-3039
Mailing address
1340 WONDER WORLD DR STE 4301, SAN MARCOS, TX 78666-7695
(512) 353-6400
(512) 353-3039
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
AP112909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171196203
—
TX
01
—
1L1345
MEDICARE
—
01
—
Q00015636
RR MEDICARE
—
Enumeration date
07/19/2006
Last updated
03/19/2025
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