Individual
KATIE LEANNE FORSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
980 W. IRONWOOD, SUITE 101, COEUR D' ALENE, ID 83814
(208) 765-1455
(208) 667-8655
Mailing address
980 W. IRONWOOD, SUITE 101, COEUR D' ALENE, ID 83814
(208) 765-1455
(208) 667-8655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
N32423
ID
363L00000X
Nurse Practitioner
Primary
NP874A
ID
Other
Enumeration date
05/16/2008
Last updated
07/28/2010
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