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Individual

FELICIA FORREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, ARNP

Contact information

Practice address
19505 76TH AVE W, SUITE 200, LYNNWOOD, WA 98036-5011
(425) 771-7450
(425) 778-3866
Mailing address
19716 11TH AVE NW, SHORELINE, WA 98177-2617
(206) 533-2314
(425) 778-3866

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00143469
WA
363L00000X
Nurse Practitioner
Primary
AP30006810
WA
367A00000X
Advanced Practice Midwife
AP30006810
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9643735
WA
Enumeration date
07/19/2006
Last updated
10/11/2011
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